By Associated Press - Monday, October 18, 2010

LOS ANGELES | Nadya Suleman’s fertility doctor endangered the mother of 14 by implanting her with a dozen embryos in the pregnancy that gave her octuplets, a state attorney said Monday.

The accusation disclosed at Dr. Michael Kamrava’s licensing hearing conflicts with Miss Suleman’s earlier assertions that only six embryos were implanted and two split, leading to the eight children who were born in January 2009.

Dr. Kamrava “knew that a 12-embryo transfer was unsafe and below the standard of care,” state Deputy Attorney General Judith Alvarado said in opening statements at the Medical Board of California hearing.

The board could suspend or revoke Dr. Kamrava’s license if it concludes that the Beverly Hills physician was negligent. The hearing is expected to take two weeks.

Miss Suleman, a 33-year-old unemployed single mother, has said Dr. Kamrava implanted her with six embryos for each of her six pregnancies — an apparent violation of national guidelines that specify no more than two embryos for a healthy woman under 35. High orders of multiple births can result in long-term developmental delays, cerebral palsy and various life-threatening ailments.

The guidelines aren’t hard-and-fast rules, but fertility specialists have criticized Dr. Kamrava’s methods, saying he endangered Miss Suleman’s health and the long-term health of the babies. Miss Suleman’s babies, born nine weeks premature, are the world’s longest-surviving set of octuplets.

Besides the fertility medicine claims, Dr. Kamrava is accused of failing to refer Miss Suleman for a mental health evaluation before giving her fertility treatments.

Dr. Victor Y. Fujimoto, an expert witness for the medical board, testified Monday that Dr. Kamrava should have referred Miss Suleman to a mental health evaluation after she went to Dr. Kamrava to say she wanted twins. Her request, Dr. Fujimoto said, came in October 2002, after Miss Suleman had borne two children through Dr. Kamrava’s treatments who were only 17 months and 4 months.

“For me, it raises a huge, red flag,” said Dr. Fujimoto, who reviewed her medical records.

Though other doctors in the field say they’re not impressed with it, Dr. Kamrava has long touted a method of in-vitro fertilization that implants an embryo, or sometimes sperm with an unfertilized egg, directly into the uterine lining.

Dr. Kamrava suffered a blow to his prestige last year when he was kicked out of the American Society for Reproductive Medicine, but the nonprofit group does not have legal authority to prevent him from practicing medicine.

Records obtained by the Associated Press show that before 2001, Miss Suleman was treated with Celexa and Sonata for depression and sleeplessness, and Clonopin for anxiety.

Before the octuplets’ birth, the divorced and unemployed Miss Suleman and her six children lived with her mother, relying on food stamps, school loans and disability payments for her two autistic children to get by.

More recently, Miss Suleman has tried to use her notoriety for income through the tabloid media, but she struggles to pay rent and is facing a $450,000 balloon payment on her La Habra home.

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