Name: 觀看Silber醫生在 "今日秀 "上的試管嬰兒直播(完整版) (Watch Dr. Silber Perform IVF LIVE on The Today Show (Full))
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Savannah Guthrie: Born Today on Monday we watched miracles. Couples across the country

welcoming new babies live, but for many other getting pregnant can be a financial, physical

and emotional challenge. Today we are focusing on In Vitro Fertilization, or IVF. NBC’s

chief medical editor Dr. Nancy Snyderman is live from an operating room at St. Luke’s

Hospital in St. Louis. Nancy, good morning to you!

Nancy Snyderman: Good morning, Savannah. I’m here with Dr. Sherman Silber sitting right

here to the right of me and patient in front. What we’re looking at on the screen are

ovaries with follicles with eggs in them. Remember they’re being harvested this morning.

You know 40 years ago there wasn’t much of an option for an infertile couple in order

to go ahead and have a baby. But boy has technology changed. So this morning for the first time

on live television, you’re not only going to see eggs being retrieved from the ovary,

but we’re going to show you the fertilization process.

But first I’d like to introduce you to a couple who very graciously allowed us to be

[music] Dr. Sherman Silber is a renowned fertility expert and a pioneer in something commonly

Sherman Silber: It’s short for In Vitro Fertilization, which simply means fertilization

Female nurse: The pregnancy will implant there.

Nancy Snyderman: Thirty-three-year-old Jessica Menkhausen and her fiancé Derek Manion are

Silber’s patients, excited about the possibility of having a baby together.

Jessica Menkhausen: That’s where our baby is going to be.

Nancy Snyderman: Jessica had tried for nine years to have a baby and had almost given

Jessica: It took years to get over it. I was really glad when we met Dr. Silber. He did

Nancy Snyderman: Jessica has been undergoing IVF pre-treatment for four weeks now, injecting

Jessica Menkhausen: Hopefully these children know one day when we show them this how much

Nancy Snyderman: And today, news that the medicine has worked. Jessica’s ovaries have

produced a large number of follicles, which house the eggs that will be fertilized with

Dr. Silber: If we count them, that count gives us an indication of how many eggs you’re

going to have. And it’s just a huge count.

Nancy Snyderman: The couple have put off wedding plans until next year, citing the cost of

IVF, which averages $12,000 to $17,000 per cycle. And it’s often not covered by insurance.

Jessica Menkhausen: We are borrowing to do this.

Nancy Snyderman: And they’re telling their personal story here, hoping to inspire others.

Jessica Menkhausen: It’s amazing to think what science can do now and how it can help

Nancy Snyderman: It’s an all or nothing gamble for Jessica and Derek who are spending

their savings on what for them is a once in a lifetime chance at parenthood.

Jessica Menkhausen: We’re terrified of spending this amount of money and then it not working.

If it doesn’t we’ll be sharing bad heartbreak together. But it will be heartbreaking.

Nancy Snyderman: They say they can’t afford to do it again but remain hopeful about the

Jessica Menkhausen: I want to be positive, and I think that we’re going to have twins.

I think that they’re going to have red hair and blue eyes. [laughs] That’s what we have

Nancy Snyderman: Right now Dr. Silber is inserting a micro-needle with a little suction into

the ovary and each of these black sacks you see really houses an egg. Those are being

sucked out and then will be examined behind us.

Can you feel that when you go in there and you’re looking at that egg, you know visually

Dr. Silber: I know visually exactly where I am, and I also can feel it in answer to

your questions. Like there is a follicle right there. We’re all right through.

Nancy Snyderman: That white line is the needle?

Dr. Silber: That white line is the needle. That opening, that little sack you see, has

an egg in it. They’re really nice and big size, so we know we’re going to have good,

Nancy Snyderman: You’re already finding a lot of eggs. Is that because she’s been

Dr. Silber: Well she’s been on stimulating hormones, but some women on stimulating hormones

do not have that many eggs. It depends. She started out with a lot of eggs … let’s

Nancy Snyderman: So this bodes well for her to have such big follicles and have so many?

Dr. Silber: Yeah. We’re excited. She has very few small follicles, and those are the

follicles that cause patients to get sick from IVF. The way we stimulated her, we have

only big follicles. These big follicles are going to be mature. They’ll have …

Nancy Snyderman: And this is a safe procedure with these medications for Jessica, right?

Dr. Silber: It really is safe if done right. If not done right it could be dangerous. [laughs]

Nancy Snyderman: I have to underscore it. That’s exactly why you go to a center where

IVF is not only established but doctors have been doing it for years and years and years.

So that one, you harvest healthy eggs. Two, it results in healthy babies. And three, the

health repercussions long term for mom, miniscule. [crosstalk]

That’s it. Savannah we’ll be back to you shortly. Hey Matt.

Matt Lauer: Can we just ask you real quickly, she is sedated but will there be discomfort

from this procedure, you know, in the coming hours or days?

Nancy Snyderman: She is sedated and there will not be discomfort. There is a vaginal

probe in her, which allows us to see the ovary, but it’s no more different than a pelvic

procedure. So no, she’s going to have minimal discomfort, and they’ll watch for a little

bleeding afterwards but they expect no complications. This has been going absolutely perfectly this

Savannah Guthrie: We hope that continues. Dr. Nancy Snyderman, thank you so much. We

know that in our next half hour she’s going to be there. We’ll watch the procedure live

on television. This is the first time when Jessica’s eggs are fertilized. We hope … we

Matt Lauer: Yeah, I was going to say after you hear their story how can you not root

for them? [crosstalk all] It’s been successful in so many other couples around the country

Savannah Guthrie: But first in our series Born Today. In the last half hour, Dr. Sherman

Silber conducted the first part of an IVF procedure retrieving Jessica’s eggs in the

operating room. Now hold onto your French fries men. We’re going to turn to Dr. Nancy

Snyderman. She’s actually moved into the lab where we’re hoping to capture a conception

Jessica and Derek are in the recovery room. They’re ready to watch. Dr. Nancy good morning.

Nancy Snyderman: Hey you guys. Let me orient you because this is one of the coolest things