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ASSISTED REPRODUCTION AND
THE LAW IN NIGERIA
Dr. Abayomi Ajayi, 5th July 2022
ART and Ethical Implications
by
Dr. Abayomi Ajayi
Dr. Abayomi Ajayi, 5th July 2022
Profile
 Introduction
Definition of ART
Ethics
 Scope of Assisted Reproduction
 Sticking points
Dr. Abayomi Ajayi, 5th July 2022
Introduction
ART includes all fertility treatments in which either the eggs or embryos are
handled.
It involves removing eggs and combining it with sperm in the laboratory and
returning to the woman or donating to another woman
Dr. Abayomi Ajayi, 5th July 2022
Ethics is the branch of Philosophy that deals with concepts of right or wrong.
It defines principles of decent human conduct in life and in various
professional endeavors
Dr. Abayomi Ajayi, 5th July 2022
Human reproduction has always generated more than its share of emotion
that exceeds the life and death issues of medicine - Gen 1:28
Even before the first IVF baby was delivered on July 25th 1978, many had
raised various ethical concerns about ART  Playing God
Dr. Abayomi Ajayi, 5th July 2022
No doubt, the most effective treatment of infertility  8 million babies
Almost all its advancements have continued to directly challenge society to
reevaluate the way in which human, social justice and equality and claims to
genetic offsprings are viewed.
Dr. Abayomi Ajayi, 5th July 2022
Scope of ART
No longer only for infertility
PGTA: prevents congenital abnormalities like Down syndrome and mental
retardation
- Gender balancing
PGTM: for genotype selection
designer babies/saviour siblings
recurrent miscarriages
- Fertility preservation in cases of medical or social reasons
- Prevention of vertical transmission of HIV
Dr. Abayomi Ajayi, 5th July 2022
Sticking Points
 Access (cost)
 Age limit  70 year old man
 Number of embryos to transfer
 Marital statues: single, same sex
Dr. Abayomi Ajayi, 5th July 2022
Use of donor gametes
 Known  mother using daughter as egg donor with step fathers sperm
 father wanting to donate for son
 Unknown: using donors gamete without partners consent
Dr. Abayomi Ajayi, 5th July 2022
 Ownership of embryos/gametes stored in case of divorce/death
 PGD: could we be discarding normal embryos?
 Sex selection
Fertility preservation: informed consents (no false hopes)
Surrogacy: Baby Gammy
IVF & religion
Dr. Abayomi Ajayi, 5th July 2022
Conclusion
Join the call for a culturally sensitive national regulation to guide practice in
this vital area of medicine.
No copy and paste
AFRH: non legally binding practice guideline
Dr. Abayomi Ajayi, 5th July 2022

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ASSISTED REPRODUCTION AND THE LAW IN NIGERIA.pptx

  • 2. Dr. Abayomi Ajayi, 5th July 2022 ART and Ethical Implications by Dr. Abayomi Ajayi
  • 3. Dr. Abayomi Ajayi, 5th July 2022 Profile Introduction Definition of ART Ethics Scope of Assisted Reproduction Sticking points
  • 4. Dr. Abayomi Ajayi, 5th July 2022 Introduction ART includes all fertility treatments in which either the eggs or embryos are handled. It involves removing eggs and combining it with sperm in the laboratory and returning to the woman or donating to another woman
  • 5. Dr. Abayomi Ajayi, 5th July 2022 Ethics is the branch of Philosophy that deals with concepts of right or wrong. It defines principles of decent human conduct in life and in various professional endeavors
  • 6. Dr. Abayomi Ajayi, 5th July 2022 Human reproduction has always generated more than its share of emotion that exceeds the life and death issues of medicine - Gen 1:28 Even before the first IVF baby was delivered on July 25th 1978, many had raised various ethical concerns about ART Playing God
  • 7. Dr. Abayomi Ajayi, 5th July 2022 No doubt, the most effective treatment of infertility 8 million babies Almost all its advancements have continued to directly challenge society to reevaluate the way in which human, social justice and equality and claims to genetic offsprings are viewed.
  • 8. Dr. Abayomi Ajayi, 5th July 2022 Scope of ART No longer only for infertility PGTA: prevents congenital abnormalities like Down syndrome and mental retardation - Gender balancing PGTM: for genotype selection designer babies/saviour siblings recurrent miscarriages - Fertility preservation in cases of medical or social reasons - Prevention of vertical transmission of HIV
  • 9. Dr. Abayomi Ajayi, 5th July 2022 Sticking Points Access (cost) Age limit 70 year old man Number of embryos to transfer Marital statues: single, same sex
  • 10. Dr. Abayomi Ajayi, 5th July 2022 Use of donor gametes Known mother using daughter as egg donor with step fathers sperm father wanting to donate for son Unknown: using donors gamete without partners consent
  • 11. Dr. Abayomi Ajayi, 5th July 2022 Ownership of embryos/gametes stored in case of divorce/death PGD: could we be discarding normal embryos? Sex selection Fertility preservation: informed consents (no false hopes) Surrogacy: Baby Gammy IVF & religion
  • 12. Dr. Abayomi Ajayi, 5th July 2022 Conclusion Join the call for a culturally sensitive national regulation to guide practice in this vital area of medicine. No copy and paste AFRH: non legally binding practice guideline
  • 13. Dr. Abayomi Ajayi, 5th July 2022

Editor's Notes

  • #5: Not only when sperm are handled (insemination) or when a woman takes medicine to stimulate egg production without intention of having them retrieved