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          WORLD> Photo
          Medical society looking into octuplets' conception
          (Agencies)
          Updated: 2009-02-11 09:14

          LOS ANGELES -- A national medical society is investigating whether a fertility doctor followed its guidelines when he implanted six embryos into a Southern California woman who gave birth to octuplets last month.


          One of the octuplets born in Los Angeles on January 26 is pictured in this handout photo released by NBC News in Los Angeles February 10, 2009. Nadya Suleman, the California mother of the newborn octuplets said on Monday she was counting on God to help provide for her family but acknowledged that she already was "struggling" financially to raise her first six children.[Agencies]

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          The American Society for Reproductive Medicine confirmed Tuesday that it's investigating because Nadya Suleman says she received in-vitro fertilization for all 14 of her children at the same Beverly Hills fertility clinic.

          Suleman, 33, told NBC's "Today" show that she was implanted with six embryos in each of her six pregnancies, resulting in four single births, a set of twins and the octuplets. No more than three embryos are considered the norm for a woman her age, and fertility experts and medical ethicists have been critical of the Jan. 26 birth of the octuplets.

          The society has contacted Suleman and her doctor, and is prepared to assist the Medical Board of California, which is also looking into the pregnancy, the society's president, Dr. R. Dale McClure, said in a statement.

          "Our guidelines provide the flexibility to give each patient treatment individualized to her needs, and her best chance to become pregnant without risking high-order multiple pregnancy," said McClure. "However, it seems that the guidelines may not have been followed in Ms. Suleman's case."

          Neither the society or the medical board identified Suleman's physician, Dr. Michael Kamrava.

          Kamrava, a specialist who pioneered a method of implantation, was identified Monday as a result of an NBC interview with Suleman, who said she went to the West Coast IVF Clinic in Beverly Hills and that all 14 of her children were conceived with help from the same doctor. In 2006, Los Angeles TV station KTLA ran a story on infertility that showed Kamrava, the center's director, treating Suleman and discussing embryo implantation.

          Kamrava, 57, did not return calls seeking comment Monday or Tuesday. When confronted by reporters outside his clinic Monday, he said he had granted a television interview but would not give details.

          The state medical board said last week it was looking into the Suleman case to see if there was a "violation of the standard of care." The medical board said it had not taken any previous disciplinary action against Kamrava.

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