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special feature<br />

Prenatal<br />

Testing<br />

– Technological<br />

Triumph<br />

By Dr. Sarah J. Buckley, MB, ChB, Dip Obst.<br />

You’ve never received bad news from<br />

the doctor’s surgery before, and this<br />

was even worse because it was about<br />

your unborn baby. Your doctor was<br />

kind and gentle, and there must have<br />

been a lot of talking, as you were in<br />

there for over 30 minutes, but all you<br />

can remember is a creeping numbness,<br />

a fog that thickened around you,<br />

and the words ‘blood test’, ‘high risk’<br />

and ‘Down syndrome’.<br />

<strong>byronchild</strong> 14<br />

That evening you try to retrieve<br />

some detail for your partner<br />

but today is still foggy and you<br />

have little memory of the ‘pretest<br />

counselling’ that the doctor said she<br />

gave you before the test. The number 1<br />

in 300 comes to mind, but this doesn’t<br />

make sense: how can there be all this<br />

worry over such a small number?<br />

Eventually you find the pamphlet in<br />

your bag. Your doctor called it ‘invasive<br />

testing’, and said it was the next step, if<br />

you want to take it. It is called amniocentesis,<br />

which means taking a sample<br />

of your baby’s waters. ‘Poor baby’, you<br />

tell your belly as you absorb the information,<br />

‘the test might kill you, or else<br />

you might have Down syndrome. Then<br />

we would have to choose whether or<br />

not to get rid of you ourselves’.<br />

That night you dream of a field<br />

of babies: perfect pink chubby babies,<br />

skinny grey babies with horrible deformities,<br />

Chinese babies, African babies,<br />

Romanian babies, and they all want to

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