2 min read

Monash IVF blames embryo mix-ups on human error

An independent review was conducted following two separate bungles.

Monash IVF fertility clinic faces regulatory scrutiny

Monash IVF blames embryo mix-ups on human error

An independent review was conducted following two separate bungles.

Monash IVF has blamed two separate embryo mix-ups on human error as its CEO said he was “deeply sorry” to the families involved.

In a statement posted to the ASX on Wednesday the fertility clinic said its independent investigation into the two incidents had been completed.

In April, Monash IVF revealed a woman at its Brisbane facility had given birth to a stranger’s child after the embryo of one patient was incorrectly transferred to another patient.

Know the news with the 7NEWS app: Download today Download today

The company became aware of the “human error” in February when the birth parents requested the transfer of their remaining embryos to another IVF provider and discovered an additional embryo.

Following an immediate investigation, Monash IVF confirmed that an embryo from a different patient had been incorrectly thawed and transferred to the birth parents.

As a result, a child was born to the wrong parents.

A second mix-up was discovered in June when another woman was incorrectly given the wrong embryo at the Monash IVF’s Clayton clinic in Melbourne.

An independent review into two embryo mix-ups at Monash IVF clinics has been completed.
An independent review into two embryo mix-ups at Monash IVF clinics has been completed. Credit: AAP

A woman’s own embryo was incorrectly transferred to that patient, instead of being transferred to the patient’s partner.

Monash IVF said both incidents were the result of human error.

“The Independent Review concluded that the Brisbane incident was the result of human error. The Clayton incident resulted from a range of factors that included human error at multiple stages and IT system limitations in the very limited circumstances of an embryo transfer to a partner,” it said.

“Those limitations ultimately made subsequent processes more vulnerable to human error.”

Monash IVF said it had already implemented some of the reviews recommendations.

The exact nature of these recommendations is unknown as the independent review has not been released to the public.

The fertility clinic said this was to “protect the privacy of the affected patients”.

“These additional safeguards and protocols go beyond the recommendations contained in the independent review,” Monash IVF said.

Monash’s chief executive Michael Knaap resigned in June following revelations about the second embryo mix-up.

The company’s chief financial officer, Malik Jainudeen, assumed the role of acting CEO and on Wednesday said he was “deeply sorry for the distress these incidents have caused”.

“We have implemented or will be implementing the recommendations of the independent review and have taken additional measures to reduce the risk of such incidents occurring in the future because the care and safety of our patients is and will always be at the heart of everything we do,” he said.

The Victorian Health Regulator is conducting its own probe into how the error occurred at the clinic in Clayton.

Stream free on

7plus logo