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Through the wonders of science, infertile couples who were

previously unable to bear children, due to reasons such as blocked

fallopian tubes, low sperm count, low egg quantities or advanced age

of the mother, are now able to conceive through in-vitro

fertilization. The results are babies known as test-tube babies

which are technically conceived outside the womb.

In a natural scenario, the conception of a baby occurs when the

ovum, travels from the ovaries, through the fallopian tube to be

fertilized by the sperm of the father during sexual intercourse.

From this point on, the fertilized egg will travel down towards the

uterus and during the process division of cells will occur until it

reaches its final destination at the wall of the uterus. However, in

the cases of block fallopian tubes, the eggs are unable to travel

from the ovaries to the uterus and conception cannot happen.

Developed in the United Kingdom by Dr. Patrick Steptoe and Dr.

Robert Edwards, the process of in-vitro fertilization involves

removing eggs from the ovaries of the mother and combining them with

the sperm of the father in a lab environment. The fertilized egg is

then placed back into the uterus of the mother after 3 to 5 days and

will remain there to grow till birth. Because of the low success

pregnancy rate of this procedure, a few eggs are placed in the

uterus to increase the odds of success. With this process,

statistics have shown that the rates of multiple births have

increased where 24 percent of the in-vitro fertilization births have

produced twins.

The first test-tube baby, Louise Brown, who was born on the 25th

July 1978, marked hope for other infertile couples to have a baby

through this procedure. However, many others were concerned about

the ethical issues surround this. One major area of concern was the

fact that as the egg is located outside the womb for a few days

while the cells multiplied before being put back inside the uterus,

the health issues affecting this baby is unknown. Indeed, research

has been shown that test-tube babies have a higher chance of birth

defects and low birth weight, and researchers still have not been

able to determine the reason for this.

Other issue of concern is that through this procedure, some of the

eggs fertilized in the lab are later discarded. Does this procedure

mean that the researchers are actually killing potential people? How

is the line drawn in this case?

Then there is also the issue of commercial opportunities for eggs

and sperms to be bought and surrogate wombs to be rented with the

purpose of creating babies. This process of embryo transfer to

another mother, not necessarily the same woman who had provided the

eggs, is known as placing the embryo in a gestational carrier. This

procedure has been becoming increasingly common through

technological advancement, which has made couples including women

with uterus problems, have a chance in having their baby.

Test-tube babies have really brought changes to the way in which

babies are conceived and have given much hope to many who have had

problems having babies through the process of fake fertilisation. However, the

downside of this are the ethical issues behind the procedure, with

which still poses a big question mark and with which is still

opposed by many factions.

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