<strong>Road</strong> <strong>to</strong> <strong>Emmaus</strong> Vol. XIII, <strong>No</strong>. 2 (#49)Natural Conception, Natural BirthMelanie: In England they are now petitioning <strong>to</strong> have the first embryo fromthree different parents implanted in a woman. Because there were some issueswith the mother’s eggs, they have spliced the genetic material from herand two other people, and are asking <strong>to</strong> have that egg implanted. Where doesit all end?RtE: In That Hideous Strength, the third volume of C.S. Lewis’ fictional trilogy,Lewis reminds us that all children are the result of God’s providenceand ancient human lineages from centuries back. Lewis was gravely troubledby the idea of artificial birth control in the 1940’s; but we are light years beyondthat.Melanie: You become numb <strong>to</strong> it. You hear of IVF, IUI, and frozen embryosand you don’t think of them as babies anymore. <strong>No</strong>r do you think aboutnatural reproduction or about the problems of artificial conception. It’s justan obscure procedure.As former embryos ourselves, we’ve been blessed <strong>to</strong> pass through the vulnerablestage of life. <strong>No</strong>w in our pumped-up hubris, we look at embryos whoare still in that vulnerable stage and we attempt <strong>to</strong> manipulate them. All ofthis seems like a stubborn insistence on our own will and not an acceptanceof God’s will. It’s really egoism at its height. I think that is the real problem.RtE: Yes, what is the Old Testament quote from Jeremiah? “Before I formedyou in the womb I knew you, before you were born I set you apart….” Theformation is almost accidental <strong>to</strong> God conceiving of you in His mind.I also think that even if we haven’t been involved with abortion or IVF, weare all complicit in these things simply by being part of a society where thesedrugs, tests, and technologies are so readily available. Many of us made suchdecisions in our youth, or are caught up in these fertility technologies nowthrough lack of knowledge. It’s important <strong>to</strong> support, console, and educateone another, and that we seek forgiveness.Stem Cell ResearchRtE: Can we talk a little about the problem of stem cell research? I heardrecently that labs no longer use aborted fetal material for research, but don’tthe stem cell lines that they are working on now originate from this originalmisuse?Melanie: The only real successful cures we have from stem cell researchare from adult stem cells because they are very stable and fully grown. Thesewould include adult nasal epithelium cells and cells from the umbilical cord,which is also made up of adult stem cells. The embryonic stem cells are incrediblyenergetic and difficult <strong>to</strong> control, as are the cells from mice.RtE: Why would they have used the embryonic stem cells in the first place?Melanie: Because of their nascent nature they are more changeable, so youcan use them for a variety of purposes. I heard a very incisive talk on fetalstem cell research from Father Tad Pacholczyk, a Catholic priest and wellknownbioethicist who argues that when bald eagles began <strong>to</strong> be an endangeredspecies, the U.S. government passed a law not only making it a crime<strong>to</strong> kill a bald eagle, but even <strong>to</strong> overturn a bald eagle’s nest or <strong>to</strong> harm theeggs in any other way. He says, “This is a very reasonable law because someoneis killing what will become a bald eagle, but somehow we’ve lost sight ofthat kind of simplicity when it comes <strong>to</strong> human beings.” If you look at constitutionallaw and apply the law that already exists for the animal kingdom<strong>to</strong> people, the result is very clear.Also, at the <strong>20</strong>11 OCAMPR conference, Professor Timothy Patitsas spokeof the Orthodox tradition that the passionless embrace of Joachim and Annaaffected the disposition of the Theo<strong>to</strong>kos. If that’s true I wonder how thedisposition of these children is affected by being conceived in a test-tube ora petri dish. <strong>No</strong>t that we don’t love these children; however it came about,their existence is a blessing. This goes back <strong>to</strong> the earlier point that you aretaking the warm embrace of the marital act out of the bedroom and puttingit in the cold sterile labora<strong>to</strong>ry. There is something startling about this, and Ithink we’ve just been numbed <strong>to</strong> think it is natural. The couple that is seekingassisted reproduction has obviously been struggling with infertility andthis can be a very great cross <strong>to</strong> bear.RtE: What would you say if someone were <strong>to</strong> ask you, “I have this IVF child,are you telling me that this wasn’t right?”Melanie: That happened <strong>to</strong> me in a very unexpected way with some newacquaintances of mine. A couple that I like very much revealed that theirchild had been born of IVF. I was taken aback but tried not <strong>to</strong> let it show asthis was no place <strong>to</strong> bring these issues up. She is their only child and she’s awonderful girl. I’m very happy that she is in the world and I have a wonder-1415
<strong>Road</strong> <strong>to</strong> <strong>Emmaus</strong> Vol. XIII, <strong>No</strong>. 2 (#49)Natural Conception, Natural Birthful relationship with her. Certainly, I rejoice that she was born and I treasureher, but that doesn’t mean that I would recommend IVF <strong>to</strong> my sister or mybest friend.Screening for AbnormalitiesRtE: Can we talk now about pregnancy screening, procedures and choices,and the moral questions involved. What would you alert us <strong>to</strong>?Melanie: Four of the most common screening <strong>to</strong>ols are ultrasounds, amniocentesis,chorionic villus sampling, and blood samples taken from theumbilical cord. Ultrasound screenings, where they bounce sound waves offof the baby and project a picture on<strong>to</strong> a screen, is a relatively safe procedure.Amniocentesis is where they insert a rather large needle through themother’s abdomen in<strong>to</strong> the uterus <strong>to</strong> take a sample of the amniotic fluid thatsurrounds the baby. You can test that fluid for certain genetic defects—oneof the most common tests that everyone knows is for Down’s Syndrome.(By the way, about 5% of women are <strong>to</strong>ld that they are at risk for carrying aDown’s Syndrome baby, but the actual incidence is much, much lower.) Theresults of amniocentesis are not always conclusive, and they can be misleading.The procedure itself carries a risk of miscarriage by hitting the babywith the needle, infection of the amniotic fluid, or rupture of the sac. Threerecent studies from <strong>20</strong>00-<strong>20</strong>06 claim the risk of miscarriage as a result ofamniocentesis is as high as 1 in 150, 5 and that more babies are hit by theneedle than actually die. Chorionic villus sampling (CVS), where they takecells from the placenta, runs a 1 in 100 risk of miscarriage, and the risk ofmiscarriage after blood samples taken from the umbilical cord (PUBS) is ashigh as 1 in 33. 6 7I had a friend who refused <strong>to</strong> have an amniocentesis done, and when thehospital staff asked, “Why in the world would you refuse?” she said, “Well,I’m going <strong>to</strong> love my child no matter what happens.” Their reply was, “If you5“Mid-Trimester Amniocentesis Fetal Loss Rate,” (Committee Statement approved by the Society of Obstetriciansand Gynaecologists of Canada) Canadian <strong>Journal</strong> of Obstetrics and Gynaecology, <strong>20</strong>07, 29:7, pg.586-590. http://www.sogc.org/guidelines/documents/gui194CPG0707.pdf6 Mayo Clinic report: http://www.mayoclinic.com/health/down-syndrome/DS00182/DSECTION=testsand-diagnosis7 <strong>No</strong>rthwestern University Medical Faculty Foundation report: https://www.nmff.org/ClinicalGenetics/services.asp?id=89refuse the amniocentesis in our hospital you must go through three hoursof manda<strong>to</strong>ry counseling if you want <strong>to</strong> deliver here.” This was simply forrefusing the procedure. The idea that she would love her child regardlessof whether it was mentally handicapped or not meant that she had <strong>to</strong> go forcounseling.In genetic counseling, women are often advised <strong>to</strong> abort the baby, or inthe case of IVF and the implanting of multiple embryos, <strong>to</strong> selectively savethe one that looks the strongest and abort the weaker ones. This is a veryutilitarian approach, and as it turns out, doc<strong>to</strong>rs can be wrong about suspectedabnormalities. A lot of children who look as if they are going <strong>to</strong> havegenetic abnormalities based on the ultrasound picture simply don’t. Theyare perfectly healthy. We trace patterns by ultrasound and predict what mayhappen, but it’s not a certainty. We all know mothers who were counselednot <strong>to</strong> have the baby and now that child might be an honor student or one ofour good friends.RtE: We also know that God’s grace changes things. We need <strong>to</strong> pray forhealthy children.Melanie: Yes. We have a host of intercessors in the saints who can takeour cause <strong>to</strong> the throne of Christ. That is something that we should certainlynever forget, that miracles can and do continue <strong>to</strong> happen.Another friend just <strong>to</strong>ld me <strong>to</strong>day that on her ultrasound last week, itlooked as if there was an enlarged ventricle in her daughter’s brain, and thearea connecting the two spheres of the brain also seemed <strong>to</strong> be enlarged. Shehad <strong>to</strong> come <strong>to</strong> grips with the possibility that her child might be retarded,so that night she went <strong>to</strong> bed and had a good cry. When she awoke she didmorning prayers with her son and found that the saints of the day were ayoung brother and sister. She mentally asked these saints <strong>to</strong> pray <strong>to</strong> God forher baby. When she went back for her next ultrasound, the doc<strong>to</strong>r asked, “Doyou know why you are here?” She explained why, and he answered, “We seenone of those problems now.”RtE: So either you had a bad ultrasound reader or a miraculous healing. Eitherway she didn’t need that kind of stress. A friend of mine was <strong>to</strong>ld fromher first ultrasound <strong>to</strong> her last that she was absolutely having a little girl, butwhen the baby was born, it was a boy!1617
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