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RTE No 20 Interior - Road to Emmaus Journal

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<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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