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Cecil Byran Jacobson (October 2, 1936 – March 5, 2021) was an American former
fertility Fertility is the capability to produce offspring through reproduction following the onset of sexual maturity. The fertility rate is the average number of children born by a female during her lifetime and is quantified demographically. Fertili ...
doctor who used his own
sperm Sperm is the male reproductive cell, or gamete, in anisogamous forms of sexual reproduction (forms in which there is a larger, female reproductive cell and a smaller, male one). Animals produce motile sperm with a tail known as a flagellum, whi ...
to impregnate his patients without informing them. Jacobson was born in
Salt Lake City Salt Lake City (often shortened to Salt Lake and abbreviated as SLC) is the Capital (political), capital and List of cities and towns in Utah, most populous city of Utah, United States. It is the county seat, seat of Salt Lake County, Utah, Sal ...
,
Utah Utah ( , ) is a state in the Mountain West subregion of the Western United States. Utah is a landlocked U.S. state bordered to its east by Colorado, to its northeast by Wyoming, to its north by Idaho, to its south by Arizona, and to it ...
. A graduate of
Brown University Brown University is a private research university in Providence, Rhode Island. Brown is the seventh-oldest institution of higher education in the United States, founded in 1764 as the College in the English Colony of Rhode Island and Providenc ...
, he became a researcher at
George Washington University , mottoeng = "God is Our Trust" , established = , type = Private federally chartered research university , academic_affiliations = , endowment = $2.8 billion (2022) , preside ...
, but had no specialist training in infertility medicine.


Baboon impregnation

In the 1960s, Jacobson, who was Chief of the Reproductive Genetics Unit at George Washington University Medical School, claimed that he had impregnated a male
baboon Baboons are primates comprising the genus ''Papio'', one of the 23 genera of Old World monkeys. There are six species of baboon: the hamadryas baboon, the Guinea baboon, the olive baboon, the yellow baboon, the Kinda baboon and the chacma ba ...
; he had supposedly implanted his sperm into a female baboon’s abdominal cavity. He claimed that he had terminated the pregnancy after four months, but never published his results in scientific publications.


False pregnancies

In the 1980s, Jacobson operated a reproductive genetics center in
Fairfax County, Virginia Fairfax County, officially the County of Fairfax, is a county in the Commonwealth of Virginia. It is part of Northern Virginia and borders both the city of Alexandria and Arlington County and forms part of the suburban ring of Washington, D.C. ...
. He specialized in treating women who had difficulty getting pregnant, or problems carrying a pregnancy to term. One form of treatment was to inject patients, before and after conception, with the hormone hCG (commonly used as a
parenteral A route of administration in pharmacology and toxicology is the way by which a drug, fluid, poison, or other substance is taken into the body. Routes of administration are generally classified by the location at which the substance is applied. ...
fertility medication Fertility medications, also known as fertility drugs, are medications which enhance reproductive fertility. For women, fertility medication is used to stimulate follicle development of the ovary. There are very few fertility medication options a ...
and a
hormone A hormone (from the Greek participle , "setting in motion") is a class of signaling molecules in multicellular organisms that are sent to distant organs by complex biological processes to regulate physiology and behavior. Hormones are required ...
normally released during pregnancy), and patients who had been unable to conceive with other treatments reported success under Jacobson's care. The pregnancies progressed normally through the early stages: standard pregnancy tests were positive and patients' bodies began to undergo changes associated with pregnancy. Jacobson performed
ultrasounds Ultrasound is sound waves with frequencies higher than the upper audible limit of human hearing. Ultrasound is not different from "normal" (audible) sound in its physical properties, except that humans cannot hear it. This limit varies fr ...
, identifying a fetus in the grainy image. Around the third month, Jacobson would report that the fetus had died. In fact, these patients were never pregnant, and the bodily changes were a reaction to the hCG. The pregnancy tests were inevitably
false positive A false positive is an error in binary classification in which a test result incorrectly indicates the presence of a condition (such as a disease when the disease is not present), while a false negative is the opposite error, where the test result ...
s because the tests determined pregnancy by the presence of hCG. During Jacobson's criminal trial, experts examined the ultrasound photographs, and reported that the purported "fetuses" were actually nearby organs or fecal matter. Nevertheless, other patients were successful in becoming pregnant and having children. While some patients were uncomfortable with Jacobson's manner, and began to distrust him, other patients gave him credit for successful treatment.


Paternity

In 1989, suspicious former patients tipped off a local television station, which investigated and reported on the false pregnancies. Jacobson was sued by numerous patients. Federal prosecutors charged Jacobson with perjury (for false testimony during the civil proceedings) and mail and wire fraud (for the use of the letters and the telephone system as part of his fraudulent practice). During the course of the criminal investigation, another type of fraud came to light. For a variety of reasons, some patients had arranged to be
artificially inseminated Artificial insemination is the deliberate introduction of sperm into a female's cervix or uterine cavity for the purpose of achieving a pregnancy through in vivo fertilization by means other than sexual intercourse. It is a fertility treatme ...
with sperm provided by screened, anonymous donors arranged by Jacobson. In order to preserve the anonymity of the donors, Jacobson explained, he identified them in records using code numbers; only Jacobson was to know their true identities. Investigators found no evidence that any donor program actually existed. Some of Jacobson's patients who had conceived through donor insemination agreed to
genetic testing Genetic testing, also known as DNA testing, is used to identify changes in DNA sequence or chromosome structure. Genetic testing can also include measuring the results of genetic changes, such as RNA analysis as an output of gene expression, or ...
. At least seven instances were identified in which Jacobson was the biological father of the patients' children, including one patient who was supposed to have been inseminated with sperm provided by her husband. DNA tests linked Jacobson to at least 15 such children, and it has been suspected that he fathered as many as 75 children by impregnating patients with his own sperm.


Aftermath


Defense

Jacobson vigorously denied wrongdoing. He offered these explanations: With regard to the "false pregnancy" cases, he had believed that the women had actually been pregnant, and continued to maintain that some of them really were pregnant. He was well aware that injected hCG could trigger a false positive on a pregnancy test, but thought that the dosages he administered were too low to have that effect. If he misread the ultrasound results, that was an honest error. As for the donor insemination, Jacobson maintained that he had in fact relied on anonymous donors as claimed. He acknowledged using his own sperm on some occasions, when donors failed to show up when needed, and a patient was about to miss a window of opportunity to become pregnant. He could not account for the incident in which his own sperm was used in place of the patient's husband's, other than to suggest cross-contamination in the laboratory.


Sentence

In 1992, Jacobson was convicted of 52 counts of
mail fraud Mail fraud and wire fraud are terms used in the United States to describe the use of a physical or electronic mail system to defraud another, and are federal crimes there. Jurisdiction is claimed by the federal government if the illegal activit ...
,
wire fraud Mail fraud and wire fraud are terms used in the United States to describe the use of a physical or electronic mail system to fraud, defraud another, and are Federal crime in the United States, federal crimes there. Jurisdiction is claimed by the ...
and
perjury Perjury (also known as foreswearing) is the intentional act of swearing a false oath or falsifying an affirmation to tell the truth, whether spoken or in writing, concerning matters material to an official proceeding."Perjury The act or an inst ...
. He was sentenced to five years in prison and had his medical license revoked. Jacobson appealed his convictions and sentence, but they were upheld by the court of appeals. He later moved to
Provo, Utah Provo ( ) is the fourth-largest city in Utah, United States. It is south of Salt Lake City along the Wasatch Front. Provo is the largest city and county seat of Utah County and is home to Brigham Young University (BYU). Provo lies between the ...
, where he was involved in
agricultural research Agricultural science (or agriscience for short) is a broad multidisciplinary field of biology that encompasses the parts of exact, natural, economic and social sciences that are used in the practice and understanding of agriculture. Profession ...
.


"Awards"

He was awarded the
Ig Nobel Prize The Ig Nobel Prize ( ) is a satiric prize awarded annually since 1991 to celebrate ten unusual or trivial achievements in scientific research. Its aim is to "honor achievements that first make people laugh, and then make them think." The name of ...
for
Biology Biology is the scientific study of life. It is a natural science with a broad scope but has several unifying themes that tie it together as a single, coherent field. For instance, all organisms are made up of cells that process hereditary i ...
in 1992, which cited him as "Dr. Cecil Jacobson, relentlessly generous sperm donor, and prolific patriarch of sperm banking, for devising a simple, single-handed method of quality control."


In the media

* Elements of the case were echoed in the 2021 Hulu film ''
False Positive A false positive is an error in binary classification in which a test result incorrectly indicates the presence of a condition (such as a disease when the disease is not present), while a false negative is the opposite error, where the test result ...
''. * A book was written about the case, ''Babymaker: Fertility, Fraud and the Fall of Doctor Cecil Jacobson'' (1993), Rick Nelson, * The story was made into a 1994 TV film: '' The Babymaker: The Dr. Cecil Jacobson Story'' * The case formed the basis of a Season 5 episode of ''
Law & Order ''Law & Order'' is an American police procedural and legal drama television series created by Dick Wolf and produced by Wolf Entertainment, launching the '' Law & Order'' franchise. ''Law & Order'' aired its entire run on NBC, premiering on ...
'', "Seed" * Elements of the case were echoed in Season 4 episode of ''
Fringe Fringe may refer to: Arts * Edinburgh Festival Fringe, the world's largest arts festival, known as "the Fringe" * Adelaide Fringe, the world's second-largest annual arts festival * Fringe theatre, a name for alternative theatre * The Fringe, the ...
'', " A Better Human Being" * Elements of the case were echoed in Season 1 episode of ''
Awake Wakefulness is a daily recurring brain state and state of consciousness in which an individual is conscious and engages in coherent cognitive and behavioral responses to the external world. Being awake is the opposite of being asleep, in which ...
'', "
The Little Guy "The Little Guy" is the second episode of the American television police procedural fantasy drama ''Awake'', which originally aired on NBC on March 8, 2012. The episode was written by series creator Kyle Killen and directed by executive producer J ...
" * Elements of the case were echoed in Season 1 episode of ''
Reaper A reaper is a agricultural machinery, farm implement or person that wikt:reap#Verb, reaps (cuts and often also gathers) crops at harvest when they are ripe. Usually the crop involved is a cereal grass. The first documented reaping machines were ...
'', "Coming to Grips" * The case was discussed in the Harvard University's course 'Justice' by
Michael Sandel Michael Joseph Sandel (; born March 5, 1953) is an American political philosophy, political philosopher and the Anne T. and Robert M. Bass Professor of Government Theory at Harvard University Law School, where his course Justice was the unive ...
* An ''
SNL ''Saturday Night Live'' (often abbreviated to ''SNL'') is an American late-night live television sketch comedy and variety show created by Lorne Michaels and developed by Dick Ebersol that airs on NBC and Peacock. Michaels currently serves a ...
'' skit with John Goodman starring as Cecil Jacobson was performed, where Jacobson was sentenced by the courts to star in a sitcom with the 75 children he fathered.


See also

* Fertility fraud *
Baby God ''Baby God'' is an 2020 American documentary film, directed and produced by Hannah Olson, which follows Quincy Fortier, a doctor who used his own sperm to inseminate fertility patients. Heidi Ewing and Rachel Grady were executive producers under ...
*
Our Father (2022 film) ''Our Father'' is an American Netflix original documentary film directed by Lucie Jourdan and produced by Michael Petrella and Jason Blum. Its story follows former Indianapolis based fertility doctor Donald Cline, who, in a case of fertility fra ...
*
Donald Cline Donald Lee Cline (born December 10, 1938) is a former American medical doctor of obstetrics and gynaecology and a felon. Between 1974 and 1987, Cline sired over 90 children without disclosing himself as the sperm donor to his patients. As of Ma ...
*
Bernard Norman Barwin Bernard Norman Barwin is a Canadian physician and medical professor. He was appointed to the Order of Canada in 1997, but resigned the award in 2013 after admitting to professional misconduct. Early life and education Barwin was born in South A ...
*
List of people with the most children This is a list of mothers said to have given birth to 20 or more children and men said to have fathered more than 25 children. Mothers and couples This section lists mothers who gave birth to at least 20 children. Numbers in bold and ''italics'' ...


References


External links

* *
Transcript of a ''Saturday Night Live'' skit "My 75 Kids"
{{DEFAULTSORT:Jacobson, Cecil 1936 births 2021 deaths American people convicted of fraud American people convicted of perjury American prisoners and detainees American gynecologists Criminals from Utah Brown University alumni Sperm donors Sperm donation Medical malpractice People from Salt Lake City Sex crimes in the United States Sex scandals in the United States Prisoners and detainees of the United States federal government