Baby making
How Christine Kirby became a pioneer in fertility treatment and created thousands of families
The first time聽Dr Christine Kirby saw聽her granddaughter Aria was through a microscope in a lab. For the woman whose life鈥檚 work is creating families - bringing thousands of babies into the world over the past 40 years - nothing had been harder than trying to help her only daughter Katie become a聽mum herself.
Christine was closely involved in Katie's IVF treatment, along with her colleagues at Repromed, the fertility clinic she co-founded as a 成人大片 company in 1987. 聽She was part of a management buy-out of Repromed in 2006, and went into partnership with a private equity firm in 2008. In 2014, Repromed was floated on the ASX.
鈥淚t was really hard, to know what聽I knew but to sit with Katie and聽at times keep my mouth shut聽knowing all the things that could potentially go wrong in her cycle,鈥 said Christine. 鈥淚 remember when Katie had been down in Adelaide from NSW (where she lives) for her cycle, and my聽husband Chris and I had taken her to the airport after her treatment.聽鈥淲e were on our way back home to Hindmarsh Island, and the next minute there鈥檚 this sobbing phone call with Katie saying, 鈥榤um,聽nothing fertilised鈥. She was at the airport alone and there鈥檚 nothing I could do, absolutely nothing.鈥 As heartbreaking as this was,聽Christine tried to view it as a聽learning opportunity.
鈥淭he journey of waiting 鈥 to see how many eggs there are, and then seeing what鈥檚 fertilised, and then聽another few days of waiting to see what develops 鈥 I think it鈥檚 part of your personal growth. 鈥淵ou鈥檇 prefer you weren鈥檛 going through it, but it makes you really understand what鈥檚 happening from a patient鈥檚 perspective.鈥澛
Having that understanding of the soul crushing mental anguish and devastation felt after failed IVF cycles (it took five cycles for Katie to finally conceive Aria), and then聽experiencing the elation after successful treatment is something that sets Christine apart from other fertility specialists.
Known for her compassion and nurturing approach, Christine has looked after thousands of people on their journey to parenthood, while supporting those who have been unable to conceive.聽Last year, she was recognised for being a champion of change, and for her outstanding contribution to fertility treatment by being inducted into the prestigious SA Women鈥檚 Honour Roll. 鈥淚 know IVF is regarded as a聽business, but I wouldn鈥檛 like to see the business aspect overriding the need to provide the best care possible for the patients you鈥檙e treating. 鈥淢y hope is that fertility treatment is based on holistic care to achieve the best outcome for parents and the best outcome for children,鈥 she said.
Regarded as a pioneer in fertility treatment, Christine has certainly had an incredible career, punctuated with challenges, amazing stories and trailblazing achievements.聽Working in reproductive medicine since the first IVF baby was born at The Queen Elizabeth Hospital (TQEH) in 1983, and dedicating聽40 years of her life to the聽development and provision of聽fertility services and treatment, Christine has seen assisted聽reproductive technologies聽dramatically evolve over the years. 鈥淚t鈥檚 certainly been a journey of highs and lows, there鈥檚 no question about that,鈥 she said. 鈥淭he number of people we help now is really high. For example, with the advent of being able to do aneuploidy screening on embryos (checking for the correct number of chromosomes), if you鈥檝e got a patient in their 40s and can put a screened embryo back in, they have pregnancy rates of 50 per cent per cycle which is absolutely amazing.鈥
Things have come a long way since Christine completed her obstetrics and gynaecology (O&G) training at the TQEH in 1987. 鈥淭he medical superintendent in 1979 found out I was pregnant and actually tried to get me to resign.聽He hired someone to replace me and said I needed to resign and if I did, I鈥檇 get a job next year, which was a bit of a shocker.聽鈥淚 told him I wasn鈥檛 quite ready to resign yet, thank you very much,鈥 said Christine. A year after becoming one of the RAH's first female surgical trainees in 1978, Christine was the first O&G trainee in South Australia to have a baby during her training. And in 1982, she became TQEH's first ever fertility clinic registrar.
Hailing from Bordertown, Christine came from a family of 鈥榩retty聽determined women鈥, something she聽attributes to helping her handle聽setbacks and sexism.聽After having her bag with all her exam notes stolen in her final year聽of high school, and feeling very homesick at the time, Christine gave up on her childhood dream of聽studying medicine and did聽physiotherapy instead.聽鈥淲ithin the first six months of being at university, I knew I made a mistake, and so spent the next three years trying to get into medicine, which is a really, really interesting journey on its own.鈥
Each year, Christine applied to do the course, and was interviewed,聽but each time was unsuccessful.
鈥淢y hope is that fertility treatment is based on聽holistic care to achieve the best outcome for聽parents and the best outcome for children.鈥澛Christine Kirby
鈥淲hen I went for my interview in my third year of physiotherapy, with the same interview panel, this guy said to me, 鈥業 don鈥檛 really understand why you want to do this. You can buy a car, you can travel overseas, you could even marry a doctor if you wanted to鈥.鈥
In 1973, Christine had聽interviewed for an Air Force聽cadetship in medicine. 鈥淭he interviewer said to me, 鈥榣ook, we don鈥檛 actually have any facility to have a female medical cadetship in the Air Force鈥, so I said to him, 鈥榖ut more than half of the trainees are now female so if you don鈥檛 sort this out, you鈥檙e going to be missing out on all sorts of things鈥. Around 12 months later, I received a phone call saying, 鈥榣ook, it鈥檚 all changed, you can apply now鈥, but the moment had passed.鈥
These days, Christine works as a Senior Fertility Specialist at聽Repromed, spends precious聽time with Aria and Katie, and聽enjoys tarmac car rallies with聽husband Chris. 鈥淐hris and I first met at Goolwa speedboat racing. 聽He was driving聽his boat and I was racing my聽dad鈥檚 boat. 鈥淢otorsport is our relaxation聽passion so we do a lot of tarmac rallies,鈥 Christine said.聽
As she proudly flicks through the many photos of Aria, it鈥檚 clear how besotted Christine is with the 鈥榖ubbly girl鈥 she helped create.聽鈥淚t鈥檚 amazing 鈥 the magic of being able to look at an embryo and then look at their little person. You look down a microscope and say to聽yourself 鈥榟ow? How does聽that happen?鈥欌
Story by Rachael Nightingale
Photos by Matt Turner