THE EMBRYO IS JUST A YEAR YOUNGER THAN THE MOTHER WHO BIRTHED HER
Benjamin and Tina Gibson with daughter Emma. |
Emma Wren Gibson, delivered November 25 by Dr. Jeffrey Keenan, medical
director of the National Embryo Donation Center, is the result of an embryo
originally frozen on October 14, 1992.
Emma's parents, Tina and Benjamin Gibson of eastern Tennessee, admit
feeling surprised when they were told the exact age of the embryo thawed March
13 by Carol Sommerfelt, embryology lab director at the National Embryo Donation
Center.
"Do you realize I'm only 25? This embryo and I could have been
best friends," Tina Gibson said.
Today, Tina, now 26, explained to CNN, "I just wanted a baby. I
don't care if it's a world record or not."
Sommerfelt said the birth is "pretty exciting considering how long
the embryos had been frozen." Previously, the oldest known frozen embryo
that came to successful birth was 20 years old.
Weighing 6 pounds 8 ounces and measuring 20 inches long, Emma is a
healthy baby girl, and that's the only thought on her parents' minds.
"We're just so thankful and blessed. She's a precious Christmas
gift from the Lord," Tina said. "We're just so grateful."
Despite not sharing genes, Benjamin, 33, said that Emma feels
completely like his own child. "As soon as she came out, I fell in love
with her," he said.
Emma's story begins long before the Gibsons "adopted" her
(and four sibling embryos from the same egg donor). Created for in vitro
fertilization by another, anonymous couple, the embryos had been left in
storage so they could be used by someone unable or unwilling to conceive a
child naturally.
These are "snowbabies," lingering in icy suspension,
potential human lives waiting to be born.
Infertility and fostering
Seven years ago, the Gibsons married, refusing to allow a dark cloud to
shadow their love. "My husband has cystic fibrosis, so infertility is
common," Tina said, adding that they had found peace with it. "We had
decided that we were more than likely going to adopt, and we were fine with
that."
Before trying to implant an embryo, they fostered several children and
enjoyed doing so.
During a break between fosters, they decided to take a week-long
vacation. As they were dropping off their dog at her parents' house, Tina's
father stopped them.
"I saw something on the news today. It's called embryo adoption,
and they would implant an embryo in you, and you could carry a baby," he
told his daughter.
"I was like, 'Well, that's nice, Dad, but we're not interested.
We're knee-deep in foster care right now,' " Tina recalled with a laugh.
"I kind of blew it off. I had no interest in it."
But during the eight-hour car trip, Tina could not stop thinking about
her father's words. "It was playing in my mind over and over and
over," she said. Hours into her journey, she turned to Benjamin and asked
what he thought about "this embryo adoption." He too had been
thinking about it "the whole time."
Tina started researching on her phone, sharing information with
Benjamin as he drove. "I knew everything about it before I got off that
vacation," she said. She knew, for instance, that the National Embryo
Donation Center was based in Knoxville, Tennessee, and could facilitate a
frozen embryo transfer.
Still, she was not immediately ready. Weeks passed.
"During August of last year, I just came home one day; I looked at
Benjamin, and I said, 'I think we need to submit an application for embryo
adoption,' " she explained. "On a whim, we filled out an application
and submitted that night."
Emma Wren Gibson was born November 25. |
''It's a world record!'
By December, she was on medication to do a "mock transfer":
essentially a series of medical examinations to see whether her uterus would be
physically capable of receiving an implanted embryo. In January, the tests were
complete, and though Tina required a small procedure to remove a polyp from her
uterus, she was eligible for implantation.
Next, a home study was performed, said Mark Mellinger, marketing and
development director for the National Embryo Donation Center. This part of the
process, conducted by a partner organization run by a social worker, is
"just the standard home study that mimics any home study that anybody
would go through in a traditional adoption process."
Families who have been approved by the state generally pass the
requirements set by the donation center. "Very rarely does a review find a
red flag," Mellinger said.
Finally, the Gibsons were ready for the implantation procedure in
March. But they had to choose an embryo, which required viewing donor
"profiles" listing the basic genetic information about the genetic
parents. "We literally had two weeks to go through 300 profiles,"
Benjamin said.
"It was overwhelming," Tina said. "There was so many,
and it's like, how do you pick?"
The couple started with one small detail just to "narrow it down
in an easy way," she said. Since she and Benjamin are physically small,
they began by looking at profiles based on height and weight. "Then we
started looking at some of the bigger things, like medical history.
"Long story short, we picked our profile," Tina said, but
that embryo was not viable, so their second choice was used.
Only when they "were fixing to go for the transfer" did her
doctor and Sommerfelt explain "It's a world record!"
"I didn't sign up for this," Tina said, laughing.
In fact, no one knows that it's definitely a record.
"Identifying the oldest known embryo is simply an
impossibility," said Dr. Zaher Merhi, director of IVF research and
development at New Hope Fertility Center, which is not involved to the Gibson
case. American companies are not required to report to the government the age
of an embryo used, only the outcome of the pregnancy, so "nobody has these
records."
Other experts, though, cited the study on a 20-year-old frozen embryo
that came to successful birth.
Sommerfelt said she had unthawed three "snowbabies," all of
them adopted from the same anonymous donor. Surprisingly, all three survived.
Normally, there's about a 75% survival rate when unthawing frozen embryos.
Though Keenan transferred all three to Tina, only one implanted. This
is normal, since successful implantation rate "normally runs about 25% to
30%," she said.
Problems encountered during pregnancy were due to Tina having a short
cervix, which could have prevented her from successfully carrying her baby.
That did not happen, and just after Thanksgiving, Tina began 20 hours of labor.
All the while, Emma's heart beat normally.
"So it all just fell into place," said Tina. "It's our
new normal; it's crazy to think about it."
Odds of success
Dr. Jason Barritt, laboratory director and research scientist at the
Southern California Reproductive Center, said that only about "15% to 20%
of the time there are additional embryos" not used in IVF. Due to the high
success rates of the IVF process, which has been scientifically explored in
animals for more than half a century, fewer embryos are now created. Louise
Brown, the first human resulting from an IVF procedure, was born in July 1978.
"Usually, couples have leftover embryos because they have
completed their families and no longer need additional embryos," Barritt
said. His center was not involved in the Gibson case. "They remain frozen
until the patient asks for some other disposition."
Disposition options -- what is done with the additional embryos --
include simply leaving them cryopreserved in liquid nitrogen storage tanks,
disposing of them in an appropriate way, donating them to research or training
for the advancement of the field of reproductive medicine, or donating them to
another couple.
The final option is rare, Barritt said, "due to a variety of
additional steps and guidelines that must be met," such as infectious
disease screening and meeting US Food and Drug Administration donor eligibility
regulations, "and significant legal documentation that must be met."
Mellinger said the National Embryo Donation Center is a faith-based
organization founded in 2003. "We say that our reason for existence is to
protect the sanctity and dignity of the human embryo," he said. "We
are big advocates of embryo donation and embryo adoption."
If you want to donate an embryo, it will handle the details for free.
"We will contact the fertility clinic where the embryos are
stored, and they are happy to work with us," Mellinger said. A special
storage container is shipped, the fertility center places the embryos inside
and sends it to the the donation center, and then the embryos are stored in the
lab in Knoxville.
"We will adopt out an embryo whenever," he said.
"Sometimes, embryos have been in storage for a few weeks, maybe a few
months. Sometimes, it's literally been decades."
The adopting couple pays all the fees, amounting to less than about
$12,500 for a first try, according to Mellinger.
Weighing 6 pounds 8 ounces and measuring 20 inches long, Emma is a healthy baby girl. |
Recalling the birth of her special daughter, Tina's voice dissolves
into tears.
"We wanted to adopt, and I don't know that that isn't going to be
in our future. We may still adopt," she said. "This just ended up
being the route that we took. I think that we would have been equally elated if
were able to adopt. "
Asked whether they might try again with the remaining two embryos --
Emma's sisters or brothers -- Tina said she absolutely would have said
"yes" two months ago.
"But after having natural childbirth, I'm like, 'I'm never doing
that again!' " she said. "But I'm sure in like a year, I'll be like,
'I want to try for another baby.' "
Information source : CNN
Information source : CNN
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