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Conforming with current regulation in Turkey regarding the freezing of oocytes: A case report of the first pregnancy in Turkey achieved through oocyte vitrification    
Yazarlar
Semra Kahraman
Türkiye
Prof. Dr. Kahraman ÜLKER
İstanbul Rumeli Üniversitesi, Türkiye
Carolıne Pirkevi Çetinkaya
Türkiye
Yeşim Kumtepe Çolakoğluu
Türkiye
Hakan K Yelke
Türkiye
Necip Cihangir Yılanlıoğlu
Türkiye
Özet
To present the first pregnancy achieved in Turkey with frozen-warmed oocytes in a case with previous nine unsuccessful assisted reproductive technology (ART) attempts. The clinical follow-up of a 33-year-old female applying to our ART centre after a long and complicated history of infertility is described. In April 2013, the woman attempted our centre for her 10th ART trial. She informed us on oocyte pick-up (OPU) day that her husband had been hospitalized following a car crush in Albania and was unable to travel to our clinic to give a sperm sample. We were therefore placed in the position of having to make an emergency decision. OPU was done and seven oocytes were retrieved. Six metaphase II (MII) oocytes out of seven Cumulus Oocyte Complexes (COCs) were vitrified using the Kitazato Vitrification Cryotop Kit. Six months later, in November 2013, the patient applied for transfer. Two blastocysts were transferred and the ART trial resulted with a singleton pregnancy and the birth of a healthy new-born at term via cesarean section. Regulation Codes on Assisted Reproductive Procedures and Assisted Reproductive Technology Centres, published in the Official Gazette of the Republic of Turkey, on 6 March 2010 forbade the freezing of gonad cells and tissues except when essential for medical reasons and stated that this would be specified later. However, the Regulation Codes published in the Official Gazette of the Republic of Turkey, on 30 September 2014 provided no further clarification. Unfortunately, the wording of the regulations did not specifically address this unexpected emergency situation. However, we saw our decision to cryopreserve the oocytes as a valid interpretation of the regulations, bearing in mind also the requirement that sperm and oocyte in the IVF process must be those of a married couple. Turkish medicolegal regulations should be revised to increase the chances of more women taking advantage of the procedure to preserve their reproductive autonomy and to give guidance on what action may be taken in emergency situations.
Anahtar Kelimeler
Women's health | obstetrics/gynaecology | oocyte vitrification | pregnancy | Turkish legislation
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü Uluslararası alan indekslerindeki dergilerde yayımlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı SAGE OPEN MEDICAL CASE REPORTS
Dergi ISSN 2050-313X
Dergi Tarandığı Indeksler Google Scholar, PubMedCentral
Makale Dili İngilizce
Basım Tarihi 01-2017
Cilt No 5
Sayfalar 1 / 5
Doi Numarası 10.1177/2050313X16687917
Makale Linki http://dx.doi.org/10.1177/2050313x16687917