Tuesday, 13 October 2015

Medical terms and definitions associated with IVF and ART procedures


Following are the medical terms and their definitions associated with IVF and other ART procedures, according to the assisted reproductive technology regulation bill issued by the Ministry of Health and family welfare

  1. “artificial insemination” means the procedure of artificially transferring semen into the reproductive system of a woman and includes insemination with the husband’s semen or with the donor’s semen
  2. “assisted reproductive technology”, means all techniques that attempt to obtain a pregnancy by handling or manipulating the sperm or the oocyte outside the human body and transferring the gamete or the embryo into the reproductive tract of a woman
  3. “assisted reproductive technology bank” means an organisation that is set up to supply sperm or semen, oocytes or oocyte donors and surrogate mothers to the assisted reproductive technology clinics or their patients
  4. “assisted reproductive technology clinic” means any premises, equipped with the requisite facilities for carrying out the procedures related to the assisted reproductive technology
  5. “biological parent” means the genetic parent
  6. “commissioning couple” means an infertile married couple, who approach an assisted reproductive technology clinic or assisted reproductive technology bank for obtaining service’s that the assisted reproductive technology clinic or the assisted reproductive technology bank is authorised to provide
  7. “couple” means a relationship between a male person and female person who live together in a shared household through a relationship in the nature of marriage which is legal in India
  8. “cryo-preservation” means the freezing and storing of gametes, zygotes and embryos
  9. “donor” means the donor of a gamete or gametes but does not include the husband who provides the sperm or the wife who provides the oocyte to be used in the process of assisted reproduction for their own use
  10. “egg”, means the female gamete namely the oocyte
  11. “sperm” means the male gametes produced in the testicles and contained in semen
  12. “embryo”, means the fertilised ovum that has begun cellular division and continued development up to eight weeks
  13. “fertilisation”, means the penetration of the ovum by the spermatozoon and fusion of genetic materials resulting in the development of a zygote
  14. “foetal reduction”, means reduction in the number of foetuses in the case of multiple pregnancies
  15. “foetus”, means the product of conception, starting from completion of embryonic development until birth or abortion
  16. “oocyte” and “ovum”, means, the female gamete present in the ovary, and an ovulated oocyte in which the first polar body has been released
  17. “patients” means an infertile married couple who comes to any registered assisted reproductive technology clinic and is under treatment for infertility
  18. “gamete”, means sperm and oocyte namely the egg
  19. “gamete donor”, means a person who provides sperm or oocyte with the objective of enabling an infertile couple to have a child
  20. “implantation”, means the attachment and subsequent penetration by the zona-free blastocyst, which starts five to seven days following fertilization
  21. “infertility”, means the inability to conceive after at least one year of unprotected coitus or an anatomical or physiological condition that would prevent a couple from having a child
  22. “Insurance” means an arrangement in which a company undertakes to provide guarantee of compensation to the family/ nominee/ beneficiary of surrogate mother/ oocytes donor in case of death and the compensation of medical expenses incurred in case of medical emergency to the surrogate and oocytes donor themselves and in case of any complications that have arisen during pregnancy which are likely to continue for the rest of life of surrogate and oocytes donor
  23. “Legitimate” means in accordance or in compliance with the existing/ established law or accepted patterns and standards
  24. “Medical Visa” means an official authorization/endorsement in a passport or similar documents issued by Indian High Commission or Indian Embassy permitting entry into and travel within India for treatment of infertility at an Assisted Reproductive Technology (ART) Clinic registered under National Registry of ART Clinics
  25. “Foreigners Regional Registration Officer/ Foreigners Registration Officer” means an officer having jurisdiction over the area for implementation of the Acts/Rules pertaining to foreigners where the assisted reproductive technology clinic is located
  26. “Non Resident Indian (NRI)” means an Indian citizen who is ordinarily residing outside India and holds an Indian Passport
  27. “Overseas Citizen of India (OCI)” means a person registered as Overseas Citizen of India (OCI) under section 7A of the Citizenship Act, 1955
  28. “People of Indian Origin (PIO)” means a person who or whose any of ancestors was an Indian national and who is presently holding another country’s citizenship/ nationality i.e. he/she is holding foreign passport
  29. “Pre-implantation Genetic Diagnosis” includes the technique in which an embryo formed through in-vitro fertilisation is tested for specific disorders prior to the transfer
  30. “Record” means documents pertaining to infertile couple, gamete donor and surrogate mother’s medical history, diagnosis/screening, types and steps of treatments/ procedures and their complications, if any and final outcome, written consent’s, agreement’s, No Objection Certificate’s (NOCs), other related documents etc.
  31. “surrogacy” means an arrangement in which a woman agrees to a pregnancy, achieved through assisted reproductive technology, in which neither of the gametes belong to her or her husband, with the intention to carry it and hand over the child to the commissioning couple for whom she is acting as a surrogate
  32. “surrogate mother” means a woman who is a citizen of India and is resident of India, who agrees to have an embryo generated from the sperm of a man who is not her husband and the oocyte of another woman, implanted in her to carry the pregnancy to viability and deliver the child to the commissioning couple that had asked for surrogacy
  33. “surrogacy agreement” means an agreement between the commissioning couple availing of assisted reproductive technology and the surrogate mother; (zt) “zygote” means the fertilized oocyte prior to the first cell division.

 Dr. Anita Mani
Infertility& Surrogacy Specialist at Gift IVF Centre
anitadane@gmail.com

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Dr. Anita Mani is a renowned infertility specialist in south India with 15 years experience in ART (Assisted Reproductive Technology). Dr. Anita has successfully set up ART hospitals in Cochin and Bangalore,  along with her spouse  Dr. S Mani, who specialises in surrogacy. She completed MRCOG, from Royal College of Obstetrician and Gynaecologist  London, DFFP from  ART Warwick university and  worked in UK for 5 years. Dr. Anitha believes in scientific and ethical practice and is currently the director of Gift Gyno IVF centre Cochin and  Bangalore.  Apart from advanced laparoscopic surgeries, she is also an expert in various ART techniques including IVF, IUI, ICSI, donor egg / sperm  and surrogacy. Her proficiency is in genetic abnormalities and high risk pregnancies.

courtesy :  assisted reproductive technology regulation bill issued by the Ministry of Health and family welfare

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