Dr. Michael Kamrava, "Octomom" Nadya Suleman's Litter Maker, in Hot Water Again

The fertility doctor who treated "Octomom" Nadya Suleman of La Habra faces new state medical board accusations.

As was alleged in the Suleman case, Dr. Michael Kamrava transferred too many embryos into an unnamed woman and failed to recommend that she see a mental health professional, California Medical Board documents show.

The 48-year-old woman, who already had three kids, went on to become pregnant with quadruplets.

Dr. Michael Kamrava, "Octomom" Nadya Suleman's Litter Maker, in Hot Water Again
ABC News

The Los Angeles Times gets the scoop.

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The complaint, which was filed June 30, states the Beverly Hills-based fertility doctor should have recommended the woman seek mental health services because "she was in her late 40's, her second husband was in his early 30's, she has three adult children and was seeking assisted reproductive technology using a known donor."

One fetus died and the remaining three were delivered by pre-term cesarean section at 33 weeks, claims the accusation, which adds one surviving infant was born with "profound developmental delays."

Kamrava's "grossly negligent conduct" put the woman at "great risk for a high order gestation which was confirmed by a quadruplet pregnancy that ended with catastrophic results," states the complaint. "The number of embryos should not be transferred into any woman, regardless of age."

The medical board, which has the power to revoke Kamrava's medical license, has scheduled an Oct. 18 administrative hearing in connection with the most recent pregnancies of Suleman and the second woman.

The doctor, who facilitated the in-vitro fertilizations that led to the births of Suleman's first six children and later the octuplets born in January 2009, appeared on ABC's Nightline Tuesday, but he wouldn't comment on specifics, citing the right to privacy of patients.

He did acknowledge he has an obligation to not cause harm to his patients.

Despite an American Society of Reproductive Medicine (ASRM) recommendation that one to two embryos be planted in a woman of Suleman's age, Kamrava said of Octomom's pregnancy, "It was done the right way under the circumstances."

Other doctors who show up on the news program--including president-elect of the ASRM Dr. Roger Lobo--disagreed.
 

Dr. John Jain, a reproductive endocrinologist at Santa Monica Fertility Specialists, called Kamrava's technique is "experimental, at best," and indicated a 48-year-old woman carrying quadruplets poses significant health risks for the mother and children.

"Not only are there risks to the unborn babies, pre-term delivery and all that goes with it as we learned from the octuplets, but to a 49-year-old woman the risks mostly relate to her cardiovascular system and these risks are serious, such as stroke and heart attack and even death," Jain said.

In January, the CMA accused Kamrava of violating professional guidelines and negligence in the Suleman case, identifying Octomom by her initials in the complaint.

When N.S. returned to (Kamrava) in July 2005 following the birth of her fourth child and again in January 2007, following the birth of her twins--her fifth and sixth children--(Kamrava) failed to exercise appropriate judgment and question whether there would be harm to her living children and any future offspring should she continue to conceive.

The number of embryos Kamrava implanted in Suleman was "far in excess of the (ASRM) recommendation and beyond the reasonable judgment of any treating physician," according to the earlier complaint, which also faulted the doctor for failing to refer Octomom to a mental health professional after she repeatedly returned for fertility treatments, even after already having six children.

The ASRM expelled Kamrava in September 2009, but his medical license wasn't affected, allowing him to continue treating patients.

Octomom, fresh off being named the least desirable neighbor in the U.S., famously defended Kamrava.


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