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Wesley J. Smith: Mothers Refusing Prenatal Testing to Protect Babies with Down
First Things/Secondhand Smoke ^ | 9/19/10 | Wesley J. Smith

Posted on 09/19/2010 9:54:59 AM PDT by wagglebee

It seems indisputable to me that the medical elites and many in bioethics wish to wipe people with Down syndrome off the face of the earth using the killing tool of eugenic abortion–or if that doesn’t work, infanticide or medical neglect.  This has led to a counter movement to value our brothers and sisters with Down into the human community. For example, as I reported here, the late Senator Ted Kennedy and Senator Sam Brownback passed a law through Congress, signed by President Bush, requiring that genetic counseling for mothers whose fetuses have tested positive for Down, dwarfism, and other genetic anomolies, not be directed to any particular outcome.  The senators believed the law was necessary because studies showed that women were often pushed toward the abortion option.

Another method of push back is for women to refuse testing altogether.  Their thinking is that they are going to love their baby come what may–gee, unconditional love, what a concept!–and they worry about being tested because of the pressure they will come under to abort.

One such mother has written a story in the NYT about her decision not to receive such testing, even though she already gave birth to one child with Down and the chances are greatly increased that she will do so again.  From “Why Prenatal Testing Harms as Much as it Helps,” by Amy Julia Becker:

For this pregnancy, I have had two ultrasounds, and I have agreed to a fetal echocardiogram. But I declined the blood tests that screen for chromosomal abnormalities. I declined the amniocentesis. I didn’t return my insurance company’s calls when they wanted to assign a nurse to guide me through this pregnancy. I’m not opposed to having information about our baby ahead of time. I want to know everything we could know in order to care for this child well. If there is a physical problem, if I need to deliver with specialists on hand, if our baby is at high risk of complications, I want to know about it, and the tests we have chosen should provide that information. And although I declined, I’m not opposed to prenatal testing. There are benefits to knowledge. According to Dr. Brian Skotko of Harvard Medical School, studies have demonstrated the helpfulness of prenatal diagnosis. Women who know ahead of time that their babies have Down syndrome are able to celebrate their arrival into the world, and often these women feel better prepared for the challenges they might face as a parent.

That’s what happened with Sarah Palin.  She says knowing ahead of time helped her prepare to welcome Trig with open arms (which, as I have written, is one reason why I think she generates so much hate from certain quarters). But pre natal testing, which could be so beneficial, clearly has a darker side–the targeting of those deemed deficient:

On the other hand, the way these tests are administered, the way information is provided to women and the way our culture talks about and conceives of individuals with chromosomal abnormalities contribute to my concern that prenatal testing more often serves to devalue all human life and to offer parents and doctors an illusion of control. When a friend of mine, who has a daughter with Down syndrome, declined amniocentesis for her next pregnancy, her doctor shrugged and said, “Well, if it happens again, don’t blame me.” Another friend, upon receiving the results of her amniocentesis, was asked, “When would you like to schedule the procedure to terminate?” Peter and I have participated in a program through the Robert Wood Johnson Medical School in which medical students meet families with a child with a disability. These doctors in training have told me that before they met Penny, they thought Down syndrome was the worst possible thing that could happen to a child. A medical-school professor at the University of North Carolina offered validation to their report when he said to his class, ‘‘In my opinion, the moral thing for older women to do is to have amniocentesis, as soon during pregnancy as is safe for the fetus, test whether placental cells have a third chromosome 21, and abort the fetus if it does.’’

That last bit reminded me of a speech I once gave at a medical school about the urgency of seeing all human beings as possessing equal moral worth in the medical system.  Afterwards, a soon to be doctor said to me, “I do genetic counseling.  What should I do when a fetus has tested positive for Down?” his implication being that there only is one right decision.  I suggested that perhaps he should bring in families of people with Down to help explain to the woman or couple what life is really like for families with such children.  He looked at me as if I were from Mars. 

Becker concludes:

Even as maternal age increases, the incidence of children born with Down syndrome is decreasing. Studies show that 85 percent to 90 percent of women with a prenatal diagnosis of Down syndrome choose to terminate their pregnancies. We declined prenatal testing not because we assume this baby in my womb has the typical 46 chromosomes. We declined prenatal testing because we would welcome another child with Down syndrome.

We hear so often, as in AIDS, about how prejudicial attitudes of medical professionals hurt patients.  That problem is clearly true with regard to Down and other genetic conditions that can be diagnosed prenatally.  Because women know that they would be expected to abort, they are instead of opting out of beneficial testing.  That’s not their fault. It’s that of the medical professional–and of a culture that too often rejects human exceptionalism.  We all have a lot of work to do cleaning up our prejudicial act.



TOPICS: Health/Medicine
KEYWORDS: abortion; downsyndrome; moralabsolutes; prolife
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To: wagglebee

When Mrs SV was pregnant with our youngest a few years ago the doctors asked if we wanted the testing done. We refused but they went ahead and did it anyway.

Some of these OBs are obsessed with playing God.


21 posted on 09/19/2010 11:27:27 AM PDT by Straight Vermonter (Posting from deep behind the Maple Curtain)
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To: Soothesayer

Well you treat it.Your posts are scary.Do you really want to kill people?


22 posted on 09/19/2010 11:29:03 AM PDT by fatima (Free Hugs Today :))
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To: wagglebee

If somehow, the evil that is Obamacare survives, I wonder if it will become completely coercive, when confronted by “black market” medical care, that is actually in the interest of the patient and doctor.

That is, requiring people to go to the government doctor at intervals, and to get blood tests to make sure they aren’t getting any “underground” medications or medical care. With, of course, civil or criminal penalties for concealing medical conditions from government doctors, or rejecting their prescribed course of treatment, including abortion and euthanasia.

This could be followed by stripping non-government doctors of their medical licenses, requiring membership of all health care workers in the government union, and nationalizing all hospitals, clinics and medical offices.


23 posted on 09/19/2010 11:35:07 AM PDT by yefragetuwrabrumuy
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To: fatima

No but there doesn’t seem to be any other choice. Hopefully it will never come to this.


24 posted on 09/19/2010 11:45:30 AM PDT by Soothesayer (“None can love freedom heartily, but good men; the rest love not freedom, but license...")
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To: metmom

When I was pregnant with our third child, the midwife said, “I have to offer you this test and tell you what it does.” I think she said it was the law that she had to offer it. But, after telling me about the test, she immediately began talking against it. I told her I wouldn’t have agreed to it, anyway, having read all about it myself.


25 posted on 09/19/2010 11:59:59 AM PDT by Tired of Taxes
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To: Soothesayer

Thank you for your response Soothesayer.


26 posted on 09/19/2010 12:12:39 PM PDT by fatima (Free Hugs Today :))
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To: metmom
actually AFP has a pro-life benefit: if a child is found to have spina bifida, a Cesarean birth can reduce spinal damage. These children can often walk (well, later, not while babies).
27 posted on 09/19/2010 1:49:24 PM PDT by eccentric (a.k.a. baldwidow)
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To: wagglebee

“The Tentative Pregnancy” by Barbara Katz Rothman is a very good book on this subject.


28 posted on 09/19/2010 1:50:56 PM PDT by eccentric (a.k.a. baldwidow)
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To: Straight Vermonter
We refused but they went ahead and did it anyway.

What???

Did you just let it drop after they did that?

29 posted on 09/19/2010 2:01:21 PM PDT by don-o ("At this point, Islam is just surging into a vacuum" - Mrs Don-o)
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To: wagglebee; don-o
Twenty-one years ago we refused an amnio (for our son Ben, now a Marine!) because the doctor couldn't explain any way in which the results could change how we would manage the pregnancy or delivery for a better health outcome for our baby.

If we had been a little better informed beforehand, we would have refused even the AFP, since it's a screening test with notoriously ambiguous results (producing both falses positive and false negatives). Who needs a maximum dose of anxiety injected straight into the pregnant mother's mind and heart?

30 posted on 09/19/2010 4:10:12 PM PDT by Mrs. Don-o ("God bless the child who's got his own." Arthur Herzog Jr./Billie Holiday)
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To: yefragetuwrabrumuy

I have heard that going overseas to India, for example, is very cost effective for people who don’t have great medical insurance.

Matter of fact, I’ve heard that there’s a doctor who wants to start a hospital in the Caribbean which specializes in just heart surgery. It’s already happening in some places and putting it close off shore to the US would get them a lot of business. I understand that they already have great success rates because of the specialization.

I see that as a option should obamacare take off. I don’t see your scenarios unrealistic or improbable at all.


31 posted on 09/19/2010 4:38:00 PM PDT by metmom (Welfare was never meant to be a career choice.)
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To: Tired of Taxes

I had heard that there was only a 1:80 chance that the test would actually reveal any potential problem and that it could indicate nothing more than twins or a miscalculated due date.

The Nurse practioner confirmed that. Those are way too low probabilities.

Funny thing is, with my food allergy problems, the nurse practioner I’m seeing wanted to do a urine test that the state of NY wouldn’t allow because the results were not reliable enough to make medical decisions on (allegedly). Well, first off, nobody makes serious medical decisions on the results of ONE test. But also, they’re requiring that doctors offer this AFP test and make major medical decisions on a test of that kind of unreliability.

Can you say *agenda*?


32 posted on 09/19/2010 4:49:16 PM PDT by metmom (Welfare was never meant to be a career choice.)
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To: brytlea

Sounds like you were dosed with Verced.

To each his own.

Some people love the property of “no memory” when having an invasive procedure.


33 posted on 09/19/2010 5:09:01 PM PDT by Global2010
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To: fatima

My thought was perhaps the wife forgave the father and they had a strong life long marraige.

LOL Guess it depends on perspective.


34 posted on 09/19/2010 5:12:23 PM PDT by Global2010
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To: Global2010

Of course,my guess he was looking after the health of the mother .


35 posted on 09/19/2010 5:18:13 PM PDT by fatima (Free Hugs Today :))
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To: Global2010

That’s exactly what it was. Why would anyone not want to not recall? I don’t want them doing anything to me that is so unpleasant while I’m aware of it that I don’t want to remember it. How stupid would you have to be to agree with that??? But at the very least, if I agreed to that, I would require that they video tape it so I could see it later to see what the heck they didn’t want me to remember.
I’ve had surgery before and I’m not a wimp, I wasn’t at all afraid of the prep for surgery, I didn’t request that I be given something to make me relax, or suggest that I was afraid or anything else. I was totally surprised that the last thing I recalled was being wheeled down the hall having a conversation with the nurse. I have no idea what happened after that point. The experience was very disturbing to me and I was not prepared for that (it was NOT like waking up from normal anesthesia).


36 posted on 09/19/2010 5:50:16 PM PDT by brytlea (Jesus loves me, this I know.)
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To: brytlea
Verced peaks at 7.5 minutes and wears off at around 20 min. depending on dose.

If you woke up after being anesthetized not feeling well it probably was not the verced.

So you have no problem going into a cold OR room and going under, that's you.

Others find it comforting to have the last memory before surg is the kind (hopefully) nurse comforting them with warm blankets and then waking up to a kind nurse.

Hopefully you will never have to be in a surg. situation again but next time just write Verced down as a decline to have drug on you paper work and tell the nurse. Problem solved.

37 posted on 09/19/2010 6:14:01 PM PDT by Global2010
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To: Global2010

It was verced because they told me it was verced. They told me it would relax me, which is a lie, it is NOT to relax you, it is to give you amnesia. Do you think adults are children who cannot deal with anything? Sheesh. I’m sorry, I’m not a child who needs comfort and lies. I can deal with the stresses of life. It wasn’t like they were cutting me open while I was awake. I can deal with a cold OR, I can deal with being put under, and frankly I would have liked to have met the team that was going to do my procedure. I’s not like I was hysterical or fearful. I was chatting with the nurse and joking before I suddenly have no more memory of anything until I awoke in the recovery room. Again, I am not a child, I am a fully functioning adult. Why do they need me not to recall what was done to me BEFORE THEY KNOCKED ME OUT? And why did they not explain to me what this drug would actually do? BTW are you a medical professional?


38 posted on 09/19/2010 6:20:12 PM PDT by brytlea (Jesus loves me, this I know.)
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To: don-o

I believe that is changing “Doctor knows best”

The pro life education and self help care info is getting out there.

As a pro life advocate for KV sure I have had many docs not able to understand our pro life view but I have also had a few that get excited that KV is a survivor with a zest of life.

Pro Life medical care education still has a big job in educating families on how to be self advocates.

Our Catholic faith teaches that very well through media programs such as EWTN programming.

Some of us are just blessed with that knowledge.

Some families are ignorant but there are families that don’t want the “problem” of caring for a disabled loved one.

Then you have the socialist govt drivin cultural illness of a person who cannot be employeed is a useless life. What good is a human who can’t pay taxes and even worse 2 humans who can’t pay if a family member leaves the work force to care for a severely disabled loved on in the home.

I could say it is simplistic as how God values life and how Govt. views life. Polar oppisites.

Lastly it comes down to those who chose knowingly or not out of being selfish.

I heard (sorry if I dont quote it perfect) it said when the Pope was at the Angelican Mass or somewhere in that visit that God is not going to pull out our financial earnings for life when we come before him and that we put way to much importance on how much we earn then we do other aspects of our lives, the aspects that are Godly.


39 posted on 09/19/2010 6:38:17 PM PDT by Global2010
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To: SusanKatzKeating

Your post is a great example of being a self advocate when it comes to health care.


40 posted on 09/19/2010 6:44:06 PM PDT by Global2010
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