Section 3: Biological diagnosis performed on cells taken from an in vitro embryo

Subject to having been approved under the conditions provided for in 7° of this article, the multidisciplinary centre for prenatal diagnosis of the territorial public health establishment of Mayotte has the task of giving an advisory opinion in the case of voluntary terminations of pregnancy envisaged on the grounds that there is a strong probability that the child to be born will suffer from a particularly serious condition recognised as incurable at the time of diagnosis:

1° The multidisciplinary team of the multidisciplinary prenatal diagnosis centre is set up within the Mayotte territorial public health establishment. It is made up of practitioners working in the territorial public health establishment in Mayotte, including at least one doctor qualified in gynaecology-obstetrics, one practitioner with experience in foetal ultrasound and one doctor with experience in paediatrics. This team may include other people with skills or qualifications that are useful in carrying out its tasks;

2° The role of this multidisciplinary team is to propose additional investigations or recourse to specialist external advice if it is necessary to support the attending doctor's diagnosis or prognosis. It informs the doctor or patient of the possible therapeutic options and, if necessary, suggests that they be referred to specialised structures. These proposals and opinions are presented to the patient or the attending doctor by one or more members of the multidisciplinary team, after consultation within the team;

3° At the woman's request, a doctor chosen by her will be involved in the multidisciplinary team consultation provided for in article L. 2213-1 ;

4° Prior to the meeting of this multidisciplinary team, the woman concerned or the couple is heard, at her request, by all or some of the members of the said team;

5° If, at the end of the consultation provided for in article L. 2213-1, it appears to two of the doctors on the multidisciplinary team that there is a strong probability that the unborn child will suffer from a particularly serious condition recognised as incurable at the time of diagnosis, and if the pregnant woman so requests, they will draw up, after the team has given its advisory opinion, the certificates provided for in article L. 2213-1. These certificates include the names and signatures of the doctors. A copy of the certificates is given to the person concerned;

6° The territorial public health establishment of Mayotte keeps, for each request, the opinion relating to a pregnancy in progress, the elements of the medical file, the opinions, advice and conclusions of the multidisciplinary team, the date of the voluntary interruption of pregnancy for medical reasons and, where applicable, the results of the examinations carried out at the request of the multidisciplinary team;

7° Approval for the multidisciplinary prenatal diagnosis centre is granted for a period of 5 years by a decision of the Minister for Health taken after a reasoned opinion from the prenatal diagnosis section of the national commission for reproductive medicine and biology and prenatal diagnosis, which takes particular account of the training, skills and experience of the practitioners making up the multidisciplinary team provided for below and the centre's operating procedures. The annex to the approval decision lists the names of the practitioners making up the multidisciplinary team. Renewal of approval is granted under the same conditions, taking into account the results of the evaluation of the centre's activity. The application for approval is submitted by the director of the Mayotte territorial public health establishment. It is accompanied by a dossier, the content of which is defined by order of the Minister for Health, which includes in particular the names of the practitioners who will make up the centre's multidisciplinary team and its internal regulations. The centre's approval may be withdrawn by a reasoned decision of the Minister for Health after consultation with the National Commission for Reproductive Medicine and Biology and Prenatal Diagnosis.