Scientists develop fluid-filled artificial womb to help premature babies

An artists impression shows a lamb inside a fluid-filled womb-like bag known as an extra-uterine support device developed by the Children's Hospital of Philadelphia.MANDATORY CREDIT Children's Hospital of Philadelphia handout via REUTERS

By Kate Kelland

LONDON, (Reuters) – Scientists in the United States have developed a fluid-filled womb-like bag known as an extra-uterine support device that could transform care for extremely premature babies, significantly improving chances of survival.

In pre-clinical studies with lambs, the researchers were able to mimic the womb environment and the functions of the placenta, giving premature offspring a crucial opportunity to develop their lungs and other organs.

Around 30,000 babies in the United States alone are born critically early – at between 23 and 26 weeks of gestation, the researchers told reporters in a telephone briefing.

At that age, a human baby weighs little more than 500 grams, its lungs are not able to cope with air and its chances of survival are low. Death rates are up to 70 percent and those who do survive face life-long disability.

“These infants have an urgent need for a bridge between the mother’s womb and the outside world,” said Alan Flake, a specialist surgeon at the Children’s Hospital of Philadelphia who led the development of the new device.

His team’s aim, he said, was to develop an extra-uterine system where extremely premature babies can be suspended in fluid-filled chambers for a vital few weeks to bring them over the 28-week threshold, when their life chances are dramatically improved.

It could take up to another 10 years, but by then he hopes to have a licensed device in which babies born very prematurely are given the chance to develop in fluid-filled chambers, rather than lying in incubators being artificially ventilated.

“This system is potentially far superior to what hospitals can currently do for a 23-week-old baby born at the cusp of viability,” Flake said. “This could establish a new standard of care for this subset of extremely premature infants.”

The team spent three years evolving their system through a series of four prototypes – beginning with a glass incubator tank and progressing to the current fluid-filled bag.

Six preterm lambs tested in the most recent prototype were physiologically equivalent to a 23- or 24-week-gestation human baby and were able to grow in a temperature-controlled, near-sterile environment, Flake said.

The scientists made amniotic fluid in their lab and set up the system so that this flowed into and out of the bag.

Lung development in fetal lambs is very similar in humans, said fetal physiologist Marcus Davey, who worked on team.

“Fetal lungs are designed to function in fluid. We simulate that environment … allowing the lungs and other organs to develop while supplying nutrients and growth factors,” he said.

Flake said the success of the system, details of which were published on Tuesday in the journal Nature Communications, was due to its mimicking life in the uterus as closely as possible.

It has no external pump to drive circulation, because even gentle artificial pressure can fatally overload an underdeveloped heart, and there is no ventilator, because the immature lungs are not yet ready to breathe air.

Instead, the baby’s heart pumps blood via the umbilical cord into a low-resistance oxygenator that acts as a substitute for the placenta in exchanging oxygen and carbon dioxide.

Flake’s team plans to refine the system further and then downsize it for human infants, who are around a third of the size of the lambs used in the study.

(Editing by Tom Heneghan)

Baby traffickers thriving in Nigeria as recession bites

baby grasps hand

By Anamesere Igboeroteonwu and Tom Esslemont

ENUGU, Nigeria/LONDON (Thomson Reuters Foundation) – As 16-year-old Maria strained under the anguish of labor in southeastern Nigeria, a midwife repeatedly slapped her across the face – but the real ordeal began minutes after birth.

“The nurse took my child away to be washed. She never brought her back,” the teenager said, gazing down at her feet.

Maria said she learned her newborn daughter had been given up for adoption for which she received 20,000 naira ($65.79) – the same price as a 50 kilogram bag of rice.

And Maria is far from alone.

A Thomson Reuters Foundation investigative team spoke to more than 10 Nigerian women duped into giving up their newborns to strangers in houses known as “baby factories” in the past two years or offered babies whose origins were unknown.

Five women did not want to be interviewed, despite the guarantee of anonymity, fearing for their own safety with criminal gangs involved in the baby trade, while two men spoke of being paid to act as “studs” to get women pregnant.

Although statistics are hard to come by, campaigners say the sale of newborns is widespread – and they fear the illegal trade is becoming more prevalent with Nigeria heading into recession this year amid ongoing political turbulence.

“The government is too overstretched by other issues to focus on baby trafficking,” said Arinze Orakwue, head of public enlightenment at the National Agency for the Prohibition of Trafficking in Persons (NAPTIP).

Record numbers of baby factories were raided or closed down in the southeastern states of Abia, Anambra, Ebonyi, Enugu and Imo this year, NAPTIP said.

A total of 14 were discovered in the first nine months of 2016, up from six in 2015 and 10 in 2014, the data showed.

But despite the growing number of raids, the scam exploiting couples desperate for a baby and young, pregnant, single women continues with newborns sold for up to $5,000 in Africa’s most populous nation where most people live on less than $2 a day.

Cultural barriers are also a factor in the West African nation, with teenage girls fearing they will be publicly shamed by strict fathers or partners over unwanted pregnancies if they do not give up their children, experts say.

“In southeastern Nigeria a woman is deemed a failure if she fails to conceive. But it is also taboo for a teenager to fall pregnant out of wedlock,” said Orakwue.

Maria said in the home in Imo state where she gave birth pregnant teenagers were welcomed by a maternal nurse who liked to be called “mama” but went on to sell the babies they delivered.

“(After I gave birth) somebody told me that mama collected big money from people before giving them other people’s babies,” Maria told the Thomson Reuters Foundation in the grounds of a school compound in her village.

“I do not know where my baby is now,” said Maria, using a false name for her own protection.

A lot of the trade is carried out in Nigeria but authorities suspect babies are also sold to people from Europe and the United States because many foreigners continue to seek infants there despite the controversy around Nigerian adoptions.

HIDDEN PROBLEM

The U.S. Department of State alerted prospective adoptive parents to the issue of child buying from Nigeria in June 2014 after Nigerian media warned that people were posing as owners of orphanages or homes for unwed mothers to make money.

“The State Department is aware of a growing number of adoption scams,” an alert on its website read.

Over 1,600 children have been adopted from Nigeria by U.S. citizens since 1999, according to the State Department website, about a third of them aged between one and two years old.

A U.S. official said the State Department facilitates contact between foreign officials and U.S. authorities when foreign governments raise any concerns regarding the welfare of an adopted child.

“To date, we are not aware of any concerns regarding the welfare of a child adopted from Nigeria,” a State Department official told the Thomson Reuters Foundation in a statement.

In Britain a couple was found by the High Court to have “fallen under the spell” of an elaborate fraud after paying 4,500 pounds ($5,600) for herbal treatment in Nigeria that caused the woman’s stomach to swell, media reported in 2014.

The couple only realized they had been duped nine months later when presented with a baby in Nigeria that actually was not theirs, the Daily Mail newspaper reported.

Babies, whose biological parents or backgrounds are unknown, are offered to women who have not been able to conceive naturally, according to NAPTIP and interviews with three women.

The British government said it was committed to stamping out what it calls the “miracle babies” phenomenon.

“Specially-trained teams are working at the UK border to identify and safeguard babies and children who may be at risk of trafficking,” said a spokesman for the Home Office (UK interior ministry) in a statement.

Denmark suspended adoptions from Nigeria in 2014 citing concerns over forgery, corruption and lack of control by the authorities.

Apart from the illicit trade in babies, Nigeria also faces the problem of domestic and international trafficking in women and children.

Human trafficking, including selling children, is illegal in Nigeria, but almost 10 years ago a UNESCO report identified the industry as the country’s third most common crime after financial fraud and drug trafficking – and the situation appears to be getting worse, according to campaigners.

The Nigerian government has not ratified an internationally recognized set of rules known as the Hague Adoption Convention which meant the laws governing adoptions remain murky and complicated, campaigners said.

“There is corruption in the adoption process and that is the individual (Nigerian) states’ responsibility,” said NAPTIP’s Orakwue in a phone interview

“But central government should step up its funding to NAPTIP so we can increase support to victims,” Orakwue said.

HERBAL TREATMENT

Sophie, who was not able to conceive, told the Thomson Reuters Foundation she started to develop the symptoms of pregnancy after visiting a herbalist in Enugu state in 2014.

However the traditional doctor told Sophie her swollen stomach contained gas resulting from the herbal treatment rather than a fetus – but she could arrange to buy a baby.

“(The herbalist) said that she would bring me a newborn baby, girl or boy, depending on which one I wanted,” she said in the grimy sitting room of her apartment in southeastern Nigeria.

The woman said a girl would cost 380,000 naira ($1,250) while a boy would cost 500,000 naira ($1,645), said Sophie who opted for a girl.

But a sense of obligation to the woman who brought her a child prevented her from reporting the crime, she told the Thomson Reuters Foundation.

“I considered everything and thought to myself ‘why should I report (the herbalist) to the police?’ She had helped me,” she said.

NAPTIP does not have data on the number of domestic adoptions that have taken place, a figure it says is not held by central government.

“In the southeastern states, the sale of babies is unarguably very prevalent as recorded by the agency,” said Cordelia Ebiringa, NAPTIP’s commander in Enugu state.

DEADLY GAME

Men are also involved in the process of illicit baby trafficking, with sperm donors impregnating surrogate mothers who then sell their babies, according to two Nigerian men.

Surrogacy is illegal in Nigeria.

Jonathan, 33, said he was paid 25,000 naira ($82) by his boss or “madam” every time he helped a client to become pregnant.

“I don’t see it as somebody exploiting me. The madams pay me for my work,” said Jonathan, who withheld his full name.

Jonathan said he did not know whether the women gave their babies away or went on to sell them although he was concerned what he was doing could be illegal.

“I often think ‘what if the police catch me?'”

Nigeria’s anti-human trafficking agency said it did not have data or information on the role of sperm donors, but many women they spoke to did not want to reveal how they fell pregnant.

“NAPTIP has no records of studs that impregnate the women at the baby factories as most of the pregnant women rescued and interviewed in such cases claimed unplanned pregnancies,” said Ebiringa.

Little information was made available by the Nigerian police or authorities in southeastern states about the number or identity of the people who run the “baby factories”.

No data was provided on the number of arrests by police in southern states of Enugu and Abia on baby trafficking offences despite repeated requests by the Thomson Reuters Foundation.

But the dangers involved, both from the law and from trafficking gangs, are palpable, according to Jonathan, who estimates he has fathered about 15 children as a “stud”.

“These (baby traffickers) can be dangerous,” said Jonathan, who was once threatened by a group of thugs who found out what he was doing. “They are ready to kill anybody if you stand in their way.”

($1 = 304.00 naira)($1 = 0.8042 pounds)

(Reporting By Tom Esslemont and Anamesere Igboeroteonwu, Editing by Belinda Goldsmith; Please credit the Thomson Reuters Foundation, the charitable arm of Thomson Reuters, that covers humanitarian news, women’s rights, corruption and climate change. Visit news.trust.org)

Haiti finds case of microcephaly linked to Zika virus

Public Health guy for Haiti

By Makini Brice

PORT-AU-PRINCE (Reuters) – Haiti has identified its first case of the birth defect microcephaly linked to the Zika virus, a senior health ministry official said on Tuesday.

Gabriel Thimothe, director general at the ministry of public health and population, said the case was confirmed on Saturday by the U.S. Centers for Disease Control and Prevention (CDC).

Haiti has confirmed 14 cases of the birth defect since March, up from previous reports of two cases, Raymond Grand Pierre, the director of the Department of Health and Family in the Ministry of Health, said.

In the other 13 cases, authorities have not established a link to microcephaly although the number may indicate Zika is more widespread in Haiti than previously thought.

According to a chart provided by the Centers for Disease Control, Haiti has recorded nearly 3,000 Zika cases.

But the World Health Organization says the overwhelming majority of cases of the virus in the island nation are suspected and not confirmed.

Thimothe said the baby with Zika-linked microcephaly was born in the city of Mirebalais earlier this summer.

Boston-based Partners in Health and its sister organization, Haiti-based Zanmi Lasante, said in a statement on Aug. 9 that two babies had been born with microcephaly in their University Hospital Mirebalais.

U.S. health officials have concluded that Zika infections in pregnant women can cause microcephaly. The World Health Organization has said there is strong scientific consensus that Zika can also cause Guillain-Barre, a rare neurological syndrome that causes temporary paralysis.

The connection between Zika and microcephaly first came to light last fall in Brazil, which has now confirmed more than 1,600 cases of microcephaly that it considers to be related to Zika infections in the mothers.

Haiti’s healthcare system is still suffering from the fallout of the 2010 earthquake that killed about 300,000 people and a still-ongoing cholera epidemic that began shortly afterward, killing about 8,600 people and infecting 707,000.

Health facilities were also paralyzed this year by a months-long strike by medical residents over pay and working conditions, which Thimothe said had largely ended.

(Reporting by Makini Brice in Port-au-Prince; Editing by Sandra Maler and Cynthia Osterman)

Photograph captures week of tragedy in Mediterranean

A German rescuer from the humanitarian organisation Sea-Watch holds drowned migrant baby of the Libyan cost

By Steve Scherer

ROME (Reuters) – A photograph of a drowned migrant baby in the arms of a German rescuer was distributed on Monday by a humanitarian organization aiming to persuade European authorities to ensure safe passage to migrants, after hundreds are feared to have drowned in the Mediterranean last week.

The baby, who appears to be no more than a year old, was pulled from the sea on Friday after the capsizing of a wooden boat. Forty-five bodies arrived in the southern Italian port of Reggio Calabria on Sunday aboard an Italian navy ship, which picked up 135 survivors from the same incident.

German humanitarian organization Sea-Watch, operating a rescue boat in the sea between Libya and Italy, distributed the picture taken by a media production company on board and which showed a rescuer cradling the child like a sleeping baby.

In an email, the rescuer, who gave his name as Martin but did not want his family name published, said he had spotted the baby in the water “like a doll, arms outstretched”.

“I took hold of the forearm of the baby and pulled the light body protectively into my arms at once, as if it were still alive … It held out its arms with tiny fingers into the air, the sun shone into its bright, friendly but motionless eyes.”

The rescuer, a father of three and by profession a music therapist, added: “I began to sing to comfort myself and to give some kind of expression to this incomprehensible, heart-rending moment. Just six hours ago this child was alive.”

Like the photograph of the three-year-old Syrian boy Aylan lying lifeless on a Turkish beach last year, the image puts a human face on the more than 8,000 people who have died in the Mediterranean since the start of 2014.

Little is known about the child, who according to Sea-Watch was immediately handed over to the Italian navy. Rescuers could not confirm whether the partially clothed infant was a boy or a girl and it is not known whether the child’s mother or father are among the survivors.

Sea-Watch collected about 25 other bodies, including another child, according to testimony from the crew seen by Reuters. The Sea-Watch team said it unanimously decided to publish the photo.

“In the wake of the disastrous events it becomes obvious to the organizations on the ground that the calls by EU politicians to avoid further death at sea sum up to nothing more than lip service,” Sea-Watch said in a statement in English distributed along with the photograph.

“If we do not want to see such pictures we have to stop producing them,” Sea-Watch said, calling for Europe to allow migrants safe and legal passage as a way of shutting down people smuggling and further tragedies.

At least 700 migrants may have died at sea this past week in the busiest week of migrant crossings from Libya towards Italy this year, the UN Refugee agency said on Sunday.

The boat carrying the baby left the shores of Libya near Sabratha late on Thursday, and then began to take on water, according to accounts by survivors collected by Save the Children on Sunday. Hundreds were on board when it capsized, the survivors said.

(Editing and additional reporting by Mark John in London)

Precious New Addition to Lori’s House!

Lori holds the newest baby to be born at Lori's House

True smiles and hearts full of thankfulness are shining at Morningside as we welcome a brand new addition to Lori’s House! Baby Daniel was born this month! Both he and his Mom are healthy and happy! We are certain that Daniel will be getting lots of attention by the staff as his amazing and loving Mother continues to work hard at bettering her life for the both of them. It is such a blessing to see the vision of Lori’s House come to life!

Lori’s House is a place of ministry, love and healing with it’s main goal to save babies by providing an alternative to abortion and caring for their mothers. This beautiful home sits alongside a lovely stream, and is snuggled in the Ozark Mountains’ Peaceful Valley, just outside of Branson, Missouri.

We are happy to say that Lori’s House has been built debt free through generous and loving donations. There is no charge for a young woman who have been accepted to live at Lori’s house throughout her entire pregnancy. The ministry, through donations, will provide assistance for food, clothing counseling and medical care. Educational classes and job training are also provided.

This home opens its doors with hope for life! Welcome to the world little Daniel!

ISIS Terrorists Impregnate 9-Year-Old Girl

The latest report by aid workers in Iraq is a 9-year-old girl that was repeatedly raped by 10 ISIS terrorists until she was impregnated.

The aid workers say the girl will likely die giving birth to the child.

“This girl is so young she could die if she delivers a baby,” thestar.com quotes Yousif Daoud, a Canadian-based aid worker who recently returned from the region, as saying. “Even a caesarian section is dangerous. The abuse she has suffered left her mentally and physically traumatized.”

The girl was part of a group of women and children released last week by the terrorists.  The release of the women, some impregnated by the terrorists, is seen as a way to shame the community.

“If they are married, their husbands won’t take them back if they are pregnant. And it’s clear that the babies will never be accepted,” Daoud said. “I don’t know what the future would be for their babies. The girls and women don’t want them. They have suffered so much they just want to forget.”

The terrorists have been reported to give young girls to front line fighters as a reward for their efforts.

The 9-year-old has been flown to Germany to be taken care of by a medical charity.

Oklahoma Legislature Passes Dismemberment Abortion Bill

A day after Kansas’s governor signed a bill banning dismemberment abortions in the state, the Oklahoma senate passed a bill prohibiting the same procedure in their state.

The Senate passed the bill 37-4 and sent the bill to Oklahoma Governor Mary Fallin.  Fallin, a Republican, has not said if she will sign the bill but she has signed previous anti-abortion measures.

The bill bans doctors from using forceps, clamps, scissors or similar devices to stop a baby’s heart and remove the fetus in pieces.  Statistics show that only 5 percent of abortions in Oklahoma in 2013 were performed with this procedure.

Senator Josh Brecheen described the procedure as “gruesome” and promoted the bill by graphically describing to his colleagues exactly how the baby is removed during the procedure.

Abortion promoters like Planned Parenthood attacked the bill, saying that inflammatory language was used to persuade legislators.  Pro-abortion advocates say the procedure is often safest for women who want to have an abortion.

Missouri and South Carolina are both considering similar bills.

Woman Who Abandoned Baby Sentenced To 20 Years

An Indiana woman who threw her newborn baby in the trash after giving birth will be spending 20 years in prison.

Purvi Patel, 33, was arrested in 2013 after she arrived at an Indiana hospital following the birth of her child.  She denied being pregnant but her injuries made it obvious to hospital personnel that she had just given birth.  Patel then admitted she had been pregnant after an affair with a co-worker.

Patel claims because her Hindu family is against pre-martial sex so she panicked when she gave birth and threw the child into a dumpster behind a shopping center.  She claimed the baby was stillborn, however doctors were able to show the baby had been born alive and could have survived if given medical attention.

The defense claimed she had been trying to induce her own abortion using drugs but that failed.  Under Indiana law, it is feticide to induce premature birth with the intent of causing death except in the case of approved abortions.

“You, Miss Patel, are an educated woman of considerable means. If you wished to terminate your pregnancy safely and legally, you could have done so,” the judge said. “You planned a course of action and took matters into your own hands and chose not to go to a doctor.”

Lila Rose of Live Action said there was a high level of irony in the case.

“If an abortionist had destroyed this defenseless little person at 28 weeks, there would be no controversy,” she said. “But since the baby managed to be born, to breathe, and then to be killed at the exact same age, law enforcement is scrambling to see justice served.”

Woman Raped On Trip Refuses Abortion

A North Carolina woman who was attacked and raped on a business trip is sharing the story of her choice to choose life.

Jennifer Christie won’t reveal the location of the attack other than to say it was at a hotel in a college town.  She said that she opened her hotel room door and when she turned to close it, a large man attacked her, struck her in the face and then raped her.  She was found unconscious on a staircase.

A month later while working on a cruise ship, she fell ill with dysentery.  An ultrasound was conducted during the examination and she discovered she was pregnant.

“I spent the next week listening to a team of very well meaning doctors and nurses console me with how ‘easy’ it would be to ‘take care of it’—to kill the child,” she recalled.

Christie said that it was during that time she turned to God.

“For the first time, I thought of how God can use this, this nightmare I’d endured—use me,” she explained.

“Our little boy may have been conceived in violence, but he is a gift from God—a delicious gift that filled the hole in our family that we never realized was there,” she said. “He made us complete.”

Christie is now speaking out about what she calls the culture of death surrounding abortion.

Couple Aborts Baby Because of Deformed Hand

An Australian couple announced they aborted their healthy baby because doctors said that he would have a deformed hand.

The baby, who would have had no problem living a full life with good health, would have had a problem with a “cleft” left hand.

The couple, known as “Frank” and “Cindy”, said that they thought it might be possible the child would have a “difficult” life and that other children would be making fun of him.

“I grew up with many people who were disabled, and… there was discrimination,” “Cindy” said. “I didn’t want my child to be discriminated against. The problem is… obvious because it is the fingers, and I think the child would have a very hard life.”

The couple said that they feel relieved.

“We were being told that our only option was to give birth to a baby that we did not wish to give birth to at all. We felt we have been forgotten and abandoned through the political and judicial uncertainty of the abortion laws,” Frank said.

Doctors made a point to note there was nothing life threatening about the child’s condition.