An overview of the media in Tonga, including links to broadcasters and newspapers.

The UK’s first womb transplant means that, in future, dozens of women born without a functioning organ can carry babies of their own. – What has happened? Surgeons have performed the UK’s first womb transplant on a 34-year-old woman whose older sister donated the organ to her. In a complex procedure, the medical team removed the womb from the 40-year-old woman and implanted it directly into her sister. Both women have made a good recovery. – Have any babies been born? Not yet. Experts want to be sure the transplant is stable and the womb is functioning fully before the younger woman undergoes IVF. She has stored eight embryos and will have fertility treatment later this year in central London. The woman hopes to have more than one baby. Once she has completed her family, the womb will be removed to prevent her needing immunosuppressant drugs for the rest of her life. – Has the NHS paid for the operation? No. Each womb transplant costs around £25,000 and is fully funded by the charity Womb Transplant UK. This includes payment to the NHS for theatre time and the patient’s stay on a ward. The operations are only carried out at times when the NHS is not using the operating theatre, so they do not impact on usual NHS waiting lists. Surgeons and medical staff involved in the transplant have not been paid for the operation and have given their time freely. – Have other womb transplants been carried out around the world? More than 90 womb transplants have been carried out internationally, with most operations involving a living donor. The first successful womb transplant took place in Sweden in 2014, with the baby – Vincent – born to a 36-year-old woman who described him as “perfect”. In 2000, a transplant was performed on a 26-year-old woman in Saudi Arabia but the donor womb survived for only 99 days due to problems with its blood supply. To date, womb transplants have been carried out in more than 10 countries, including Saudi Arabia, Turkey, Sweden, the US, China, Czech Republic, Brazil, Germany, Serbia and India. – How successful is the operation? Data from the US shows that more than half of women who received a womb through a transplant in the US went on to have successful pregnancies. Between 2016 and 2021, 33 women received womb transplants in the US and, as of last summer, 19 of them (58%) had delivered a total of 21 babies. In 74% of those receiving a womb, the organ was still functioning one year after transplant and 83% of this group had live-born children. – Will there be more transplants in the UK? Yes. The second British womb transplant is scheduled to take place this autumn and experts believe a maximum of 20 to 30 per year could be carried out in the UK in the future. Transplants could help women born without a functioning womb and those who lose their organ to cancer or other conditions. Estimates suggest there are 15,000 women in the UK of childbearing age who do not have a functioning womb. – Will there be a shortage of donor wombs? Womb Transplant UK is running two programmes, one involving living donors and another with organs from people who have died. The living donor programme in the UK has so far focused on women with relatives who are willing to give their wombs. However, the team believes that in the future, the living donor programme will expand to include friends or altruistic living donors. This is currently more common in the US. The use of deceased donors is assessed by the team on a case-by-case basis. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Why are wellbeing experts concerned about the ‘lazy girl job’ trend? How to check for cancer, as Morrisons puts NHS cancer advice in underwear labels Prostate screening ‘could save lives’ – the symptoms and risk factors you need to know

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Surgeons worked all day and into the night to ensure Britain’s first womb transplant went smoothly. Its success is down to meticulous research, years of sharing knowledge between experts around the globe, and the hard work and dedication of doctors Professor Richard Smith, from Imperial College London, and Isabel Quiroga, from the Oxford Transplant Centre. Around 50 babies have been born worldwide as a result of womb transplants, which give women missing a functioning uterus a chance to have a baby. In the first UK case, the operation to remove the womb from the recipient’s 40-year-old sister lasted eight hours and 12 minutes, with surgeons leaving her ovaries behind to prevent pushing her into early menopause. One hour earlier, surgeons began operating on the 34-year-old recipient, preparing her body to receive the donated organ. This operation lasted nine hours and 20 minutes, with the surgical team experiencing some difficulties including a higher-than-expected blood loss of two litres. However, after just 10 days, the recipient was well enough to leave the hospital and has continued to have a good recovery. She is also having regular periods, which shows the womb is working well. Her sister was discharged five days after her donor operation and has also made a good recovery. Removing a womb is a similar operation to a radical hysterectomy, according to Prof Smith, who as well as being a gynaecological surgeon is the clinical lead at the charity Womb Transplant UK. He and Miss Quiroga led the team of more than 30 staff who worked on the transplant one Sunday in February. Prof Smith and Miss Quiroga removed the older sister’s womb, cervix and fallopian tubes, plus crucial blood vessels around the organ. The main vessels are the uterine arteries running into the womb, but the surgeons also aimed to collect some of the larger internal vessels that lead into the smaller branch of the womb. Prof Smith said surgeons doing these operations have to retrieve veins involved in the drainage of the womb. “One of the amazing things is that my surgical skill-mix as a cancer surgeon is to remove organs with a margin of normal tissue, while sealing the vessels as I go,” he said. “Transplant surgical skills are different – that is to remove a normal organ with the best number of non-sealed vessels as you can. “Isabel and I operate together with no ego – it just flows backwards and forwards across the table.” He added: “The day itself was truly humbling. We turned up at 7am at the Churchill transplant centre with the donor and the recipient families, then we went into a pre-op huddle. Those in the huddle included surgeons, nurses, anaesthetists and technicians. Prof Smith and Miss Quiroga worked to remove the womb, before the organ was prepared for transplantation by a “back table” team. “This was an organ which had a very, very unusual blood supply,” Prof Smith said. “In fact, it had a set of blood vessels which I’ve never seen in my entire career. They made my dissection a bit harder than it might have been, but we got there.” In the theatre next door, one hour before the retrieval of the womb was completed, surgeons began to operate on the donor’s younger sister to enable her to receive the womb. Prof Smith and Miss Quiroga switched from donor to recipient and Prof Smith removed the vestiges of the underdeveloped womb the recipient was born with. Meanwhile, the organ was packed and transported between the two theatres under sterile conditions to prevent contamination. A sterile bag with a cold perfusion solution contained the womb, which was then placed into a container with ice. During surgery, ligaments attached to the womb were attached to the recipient to help the womb stay in a relatively fixed place so it does not move around the pelvis. The most important part of the transplant operation was the joining of the very small vessels that give the blood supply to the womb. This was the most delicate and difficult part of the operation and was led by Miss Quiroga. Once all the vessels were connected, the donor’s vaginal cuff – around a 1cm part – was stitched into her sister’s vagina. If and when the recipient is able to complete her family, the womb will be removed six months later to prevent her from needing immunosuppressants for the rest of her life. Prof Smith said: “We know that the chance of failure at the point where the uterus goes in – if you look at the world literature – is 20 per cent to 25 per cent. And that failure is usually on the basis on sepsis and thrombosis. So technically, we are up to the job, but what happens thereafter can be scary. “Once you get to three or four days later, the chance of failure drops to probably less than 10 per cent. “Once you get to two weeks – and at the point where the woman has a period – the chance of her having a baby at that point is very high and the chance of failure has dropped to low. But those first two weeks – it’s very scary as a surgeon to watch and wait.” Biopsies to check the womb was functioning were read in London but then also confirmed by an expert team in the US at Baylor University Medical Centre in Dallas, where other womb transplants have been performed. Prof Smith said the procedure gives new hope to women born with devastating conditions. He said: “You’ve got girls, maybe 14, who have not had periods, they go to the GP and a scan shows there is no uterus. Absolute catastrophe. “Up until now, there’s been no solution for that, other than adoption or surrogacy... That’s not the case now. It’s really exciting.” On whether transgender women may also benefit from the operation, Prof Smith said that was still a long way off. He said the pelvic anatomy, vascular anatomy and shape of the pelvis are different, and there are microbiome issues to overcome. “My own sense is if there are transgender transplants that are going to take place, they are many years off. There are an awful lot of steps to go through. My suspicion is a minimum of 10 to 20 years.” Miss Quiroga said the living donor programme to date in the UK has focused on women with relatives who are willing to give their wombs. “It will come to a point where we will have friends or altruistic donors, like we have with many other transplants, but at the moment we’re only focused on people who have come forward with relatives,” she said. 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Rumer Willis has revealed that the name for her daughter, who she welcomed in April, was actually inspired by a text typo. The actress, 35, spoke candidly about her daughter, who she shares with boyfriend Derek Richard Thomas, during a recent interview with People. Willis went on to explain that while her daughter goes by Louetta, that wasn’t the name that she and Thomas had initially planned. “We were thinking about the name Loretta, and it was a typo,” she said. “Her dad and I were texting, and he left the ‘R’ out of Loretta, and it was just Louetta.” Willis - the daughter of Bruce Willis and Demi Moore - added that, after her partner made the typo in his text, she came to realise that she liked the name “Louetta” better than “Loretta”. “I was like: ‘Oh, I love that!’ I feel like it was one of those kind of divine intervention universe moments, and we figured it out actually quite early in my pregnancy,” she explained. However, according to The House Bunny star, she initially had a few concerns about if the name would be the best fit for her daughter. “What was scary was, I love this name, but oh man, is it going to be her name? Is it the right name?” she continued. What if she comes out and doesn’t look like this?” Despite her mixed feelings about the name during her pregnancy, Willis said she realised that she wanted to call her baby “Lou” once she was born. “I fell in love with the name so much, so early on, that I was then worried that it wouldn’t work,” she said. “But then she came out, and I mean, to me, at least right now, I was going to name her Lou, whether she was a boy or a girl.” She also added that both she and Thomas wanted to pick a name that had some “versatility” to it, before describing some of the different nicknames that her daughter could choose to go by. “If she doesn’t feel like a Louetta, she can go by Lou, she can go by Etta,” she said. “She can go change it up throughout her life. Whatever she wants.” Earlier this year, Willis took to Instagram to announce the birth of her first child. “Louetta Isley Thomas Willis. You are pure magic,” she wrote in the caption, alongside a snap of her then-newborn. “Born at home on Tuesday April 18th. You are more than we ever dreamed of.” Along with opening up about her baby’s name, Willis has also taken to social media to speak candidly about her experiences as a mother. Earlier this week, she hit back at criticism on Instagram after she shared a photo of herself breastfeeding her daughter. When Instagram users questioned her for sharing the selfie, with claims that she posted it “for attention,” the actress expressed how she viewed the ability to feed her daughter as a “privilege,” and accused critics of holding “a limited view of” breastfeeding. She continued defending her decision to post the photo, explaining how she wanted it to lessen the “shame” that women face. “I think it’s incredibly important to share because there is an incredible amount of shame that comes with being born into a female body,” Willis wrote. “And I want to lead by example in teaching my daughter that she doesn’t have to be ashamed of her body ever and that she can decide how she wants to share it.” Read More Rumer Willis shuts down criticism over breastfeeding photo with her child: ‘I am the happiest I have been’ Rumer Willis says she is ‘grateful’ to her body following birth of daughter Bruce Willis’ wife Emma Heming Willis says she is ‘not good’ amid his ongoing struggle with dementia Rumer Willis addresses criticism over breastfeeding photo with her child Rumer Willis says she is ‘grateful’ to her body following birth of daughter Serena Williams welcomes her second child with husband Alexis Ohanian

Serena Williams and husband Alexis Ohanian are officially the parents of two. Williams, 41, shared a video to TikTok on 22 August to announce the arrival of her second child. The one-minute video started off with Ohanian looking at a computer and sitting at a table, before his wife sat down next to him. The pair were then joined by their five-year-old daughter Olympia. The video went on to show Williams leaving the room, before she returned with her newborn baby in her arms. After the tennis star exchanged a kiss with her husband, Olympia leaned toward them to give her little sister a kiss on the forehead. The clip ended with a few sweet snaps of the now family of four. In the caption of the video, which was set to Bazzi and Camila Cabello’s hit song, “Beautiful”, Williams wrote: “Welcome my beautiful angel.” Ohanian also shared a photo of himself and his family on Instagram to announce the baby news, revealing his child’s name: Adira River Ohanian. He continued the caption of his post by expressing his gratitude for his second daughter and wife, along with the doctors who cared for them. “I’m grateful to report our house is teaming with love: a happy & healthy newborn girl and happy & healthy mama,” he wrote. “Feeling grateful. @serenawilliams you’ve now given me another incomparable gift - you’re the GMOAT. Thanks to all the amazing medical staff who took care of my wife & our daughter,” he wrote. “I’ll never forget the moment I introduced @olympiaohanian to her baby sister.” In the comments, many fans and famous faces went on to celebrate the newest addition to Ohanian family. “Congratulations!!!! Such a beautiful family. I’m so happy for you guys!!!!!!,” LaLa Anthony wrote, while another fan added: “Congratulations on your beautiful baby girl! Such a beautiful family! I love her name.” A third commented: “Such a blessing! So happy for you both.” During the Met Gala earlier this year, the Grand Slam winner first revealed that she was expecting her second child. As she walked the red carpet alongside her husband in May, Williams showcased her baby bump in a black long-sleeves dress with a deep neckline and a white tulle skirt. She also celebrated the news on Instagram at the time, writing: “Was so excited when Anna Wintour invited the three of us to the Met Gala.” Earlier this month, Williams and Ohanian also shared that they had an adventure-themed gender reveal party to unveil the sex of their baby. In a video shared to the tennis star’s YouTube account, which documented the “baby shower slash gender reveal” event, Ohanian had arranged for a drone display in the sky to reveal to his wife that they were having a girl. @serena Welcome my beautiful angel ♬ original sound - Serenawilliams Prio to sharing the display, the Reddit founder pulled a gender reveal prank on his partner by giving her a decoy cake that was yellow inside, instead of the usual blue or pink to indicate what the baby’s gender is. The arrival of Williams’ second child came one year after she revealed that she was retiring from tennis. In an essay for Vogue in August 2022, she wrote that she was leaving the sport to focus on her family, as she expressed how Olympia had often told her that she wanted to be a big sister. “Believe me, I never wanted to have to choose between tennis and a family,” she wrote. “I don’t think it’s fair. If I were a guy, I wouldn’t be writing this because I’d be out there playing and winning while my wife was doing the physical labour of expanding our family. Williams continued: “Don’t get me wrong: I love being a woman and I loved every second of being pregnant with Olympia… But I’m turning 41 this month and something’s got to give.” Read More Serena Williams celebrates second pregnancy with ‘pre-push party’ Pregnant Serena Williams pokes fun at sister Venus’ hilarious response to gender reveal prank Serena Williams and Alexis Ohanian share gender reveal party footage with fans Serena Williams celebrates second pregnancy with ‘pre-push party’ Exercise apps could help boost healthcare workers mental health Alabama Barker shares autoimmune, thyroid disease struggle amid body-shaming comments

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