<strong>Road</strong> <strong>to</strong> <strong>Emmaus</strong> Vol. XIII, <strong>No</strong>. 2 (#49)Natural Conception, Natural BirthMelanie: That’s a classic example. If they can make this kind of mistakeon something that is so apparent as external body parts, how on earth canthey be so sure of all of the so-called problems? Even when problems areproperly diagnosed, it is becoming a new social stigma <strong>to</strong> have a child who isimperfect, or even poor. We’ve begun putting those problems above familialrelationships and happiness.I recently read an article where a woman was targeting the political andreligious right, saying that they were trying <strong>to</strong> infringe on her reproductiverights, among which she listed sex selection, which would involve either sexselection through IVF or, after she is pregnant, gender screening via ultrasound,and abortion if the sex of the child is not what she wants. Genderscreening is now outlawed in India as it has had a devastating effect on theirpopulation, and there are many Indian men now having <strong>to</strong> look for brides inother countries. In China there are over a million missing girls for the samereason. Often you can’t see the full effect of sin and its consequences for ageneration or two down the road.I’m a far cry from the hippie/naturalist type, but I do have <strong>to</strong> say that Ihad a breast mass extraction because they saw something on the ultrasoundand thought it was cancerous, which it wasn’t. <strong>No</strong>w all of the latest informationcoming out is saying that women without a positive family his<strong>to</strong>ry forbreast cancer shouldn’t be screened before age forty because they end uphaving unnecessary biopsies and surgeries. Although I would want ultrasoundsduring pregnancy because I’m a worrier, it certainly can also placeundue stress on you.I want <strong>to</strong> say clearly that I would never tell anyone not <strong>to</strong> get an ultrasound,because there is so much valuable information that can be gained.You can see if the baby is growing at a proper rate and it is usually a great joyfor the mother <strong>to</strong> hear her baby’s heartbeat for the first time and <strong>to</strong> watchhim move. Used correctly, ultrasounds can pick up many problems. Withearly diagnosis we can also do surgery in utero and have a baby continue <strong>to</strong>grow and be carried full term that otherwise might not have made it. Thereare many blessings <strong>to</strong> ultrasound.RtE: What surgeries can be done in utero? It’s amazing <strong>to</strong> think about.Melanie: They’ve done heart surgeries and all sorts of things. Perhapsyou’ve seen that famous picture of the baby’s hand holding the surgeon’sfinger? Again, problems are usually related <strong>to</strong> the misuse of a good <strong>to</strong>ol.RtE: Are there other types of reproductive screenings that we should beaware of?Melanie: One issue that we haven’t talked about is the pre-implantation embryonicscreening, where, for example in IVF, they will take the embryo andextract one or two cells <strong>to</strong> test for whatever the parents choose, which couldbe sex selection or a certain genetic code. An example I heard at a recent conferencewas about a sick child whose parents decided <strong>to</strong> conceive a secondchild as a bone-marrow match. They had <strong>to</strong> do pre-embryonic screening <strong>to</strong>make sure that the IVF embryos that were implanted were the correct match.RtE: So, although one assumes they will love the second child, this was avery utilitarian conception.Melanie: And imagine if you were that child and find out that you wereconceived for the purpose of being a donor. This is a slippery slope. We startwith this kind of selection and it’s not far from designer babies. “I’d like onewith blond hair, freckles and blue eyes, please.”RtE: If you don’t have a sense of God’s providence, you won’t see why not.A child may be born with a condition that helps them and those caring forthem attain salvation or even become saints. I’m thinking here of St. Matronaof Moscow who was born blind and later wasn’t able <strong>to</strong> walk, but becamea great miracle-worker.Melanie: Yes. I remember being about thirteen, very idealistic, and knowingthat we had several children with Down’s Syndrome in our church, I said,“Oh Papa, do you think that God especially blesses the Orthodox with all ofthese wonderful people?” Look at Greg and Tammy…” He said, “<strong>No</strong> honey,that’s because we don’t get rid of them”. I remember that slamming me likea <strong>to</strong>n of bricks.Orthodox Christian Teaching on IUI and IVFRtE: Can we talk now about the Orthodox Christian attitude <strong>to</strong>wards thesereproductive and infertility issues?Melanie: One criticism that we hear of the Eastern Orthodox stance is thatwe are wishy-washy and have no magisterium <strong>to</strong> follow like the Roman1819
<strong>Road</strong> <strong>to</strong> <strong>Emmaus</strong> Vol. XIII, <strong>No</strong>. 2 (#49)Natural Conception, Natural BirthCatholic Church, which has strongly said “no” <strong>to</strong> artificial contraception and<strong>to</strong> IVF. However, a majority of Roman Catholics do use artificial contraception,so there is a disconnect between the Catholic teaching and the practiceof the people. This kind of universal blanket statement is not usually the waywe Orthodox work, yet our people are caught in the same dilemmas. In ourtradition, you might be talking <strong>to</strong> your spiritual father about it, but you alsomay not realize that this is an area of life that he should be included in.RtE: With the way things have moved so quickly in this technology, it’s aremarkable priest who can keep up with it all.Melanie: Yes, and with great sincerity a spiritual father may even say, “Ohyou want <strong>to</strong> have a child, isn’t that wonderful. God gives us medicine anddoc<strong>to</strong>rs <strong>to</strong> help us.” This is true, but in this case if it leads <strong>to</strong> the normalmedical IVF route it is unfair <strong>to</strong> the mother and the child because it’s notres<strong>to</strong>ring her <strong>to</strong> physical, psychological or spiritual health, nor is the childbeing treated with dignity.As an example of this, I had a client who had been trying <strong>to</strong> have a baby forseven years. When I first met her, I invited her <strong>to</strong> come see me, but insteadshe went <strong>to</strong> a doc<strong>to</strong>r about IVF, who <strong>to</strong>ld her that she had a non-malignantfibroid tumor in her uterus that might be operable. So, I said, “Before you gothrough with the surgery and the IVF, can you just give me a few months <strong>to</strong>work with you? Come see my doc<strong>to</strong>r, and let’s figure out what’s going on.”In the end what turned her off and sent her <strong>to</strong> me for natural fertility counselingwas that when she went in <strong>to</strong> talk about IVF they walked her down <strong>to</strong>billing <strong>to</strong> get the details of her health insurance. She said, “It was a very, verylarge room, crammed full of desks and cubicles with everyone working hardand fast. It just creeped me out and I thought, ‘What kind of a place are theyrunning here?’” Again, this is $12,000-$17,000 per procedure. It seems <strong>to</strong>me that they are advertising themselves as angels of light, but really it’s amoney-making scheme with no real regard for the woman’s overall health.Of course, there are some doc<strong>to</strong>rs who have the woman’s best interest atheart, but as a system, I think it is very flawed.Last month, I ran in<strong>to</strong> this woman at a wedding. When I turned around,I saw that—lo and behold—there she was pregnant. So, just by removingthe fibroid and using fertility-focused intercourse, this woman who couldn’tconceive for seven years conceived successfully without IVF.RtE: What have Orthodox patriarchates and jurisdictions said about IVF?Melanie: I’ve found it difficult <strong>to</strong> discover what the Church actually teaches,even after much library research and scouring the internet. There are someofficial statements by different Orthodox jurisdictions, but they are variedand sometimes hazy. For someone who is infertile, 39 years old, and trying<strong>to</strong> find out about these issues, it’s extremely hard. They don’t have time <strong>to</strong> sitaround and wait for the Church’s advice. If they have a spiritual father whowent <strong>to</strong> seminary twenty years ago, he may not know much about these newcontraceptives or about assisted reproductive technologies, especially IVF.I don’t think that any Orthodox patriarchate or jurisdiction condones theproblematic aspects of IVF. Of the statements I’ve come across, the RussianOrthodox Church’s detailed look at many social questions, The Basis of theSocial Concept, is the most conservative. Here are two selections:…The Church cannot regard as morally justified the ways <strong>to</strong> childbirthdisagreeable with the design of the Crea<strong>to</strong>r of life. If a husband or awife is sterile and the therapeutic and surgical methods of infertilitytreatment do not help the spouses, they should humbly accept childlessnessas a special calling in life. In these cases, pas<strong>to</strong>ral counselshould consider the adoption of a child by the spouses’ mutual consent.Among the admissible means of medical aid may be an artificial inseminationby the husband’s sperm cells [IUI] since it does not violatethe integrity of the marital union.…Morally inadmissible from the Orthodox point of view are also allkinds of extracorporeal fertilization involving the production, conservationand purposeful destruction of “spare” embryos. It is on therecognition of the human dignity even in an embryo that the moralassessment of abortion by the Church is based. 8RtE: The position on IVF is very clear, but I can’t help wondering about IUIand the integrity of the marital union.Melanie: Again, both Catholic bioethicists and our Greek bioethicist MetropolitanNikolaos (Hatzinikolaou) of Mesogaia and Lavreotiki say that itis never a good thing <strong>to</strong> separate reproduction from the marital act, or themarital act from reproduction. This is very commonsense.8 http://www.mospat.ru/en/documents/social-concepts/xii/<strong>20</strong>21
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