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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