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Prenatal screening pros and cons
Pros cons of prenatal testing
Pros cons of prenatal testing
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Would you want to know the health of your child before it is born? That is what Prenatal Testing is for. If you don’t know what it is exactly, you’ll learn as you read through this paper. The two types of prenatal testing are prenatal screening and prenatal diagnosis. Both types of testing allow for pregnant women to have a clearer understanding of their child. (Prenatal Diagnosis 2015) New ways of learning about the fetus will most likely become available in the near future because of technology advancing everyday. Even though some people believe miscarriages are a problem with some of the testing that’s done, it’s okay for pregnant women to do prenatal testing to make sure their baby is healthy because there could be possible disorders in the baby, results from the testing can help, and the tests can find cancer in pregnant women.
Testing allows the mother to find out about possible disorders in the baby. Pregnant women can check if their baby has any type of birth defects. According to Nell Greenfieldboyce in her article called “DNA Blood
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Test Gives Women A New Option For Prenatal Screening”, “cell free fetal DNA testing, uses a simple blood sample from an expectant mother to analyze bits of fetal DNA that have leaked into her bloodstream.” (Greenfieldboyce 2015) This means that there is a non-invasive way of testing for defects without the worry of having to deal with any type of pain. Pregnant women also believe they will hurt their baby with testing, so this non-invasive testing is one way to not harm the baby at all. Another reason prenatal testing is recommended is because the baby could have Down’s Syndrome and the mom wouldn’t know until the baby is born. In the New York Times, Jane E. Brody’s article on “Breakthroughs in Prenatal Screening” she said “More than 30 years ago, a 37-year-old friend of mine with an unplanned fourth pregnancy was told by her obstetrician that an amniocentesis was “too dangerous” and could cause a miscarriage. She ultimately bore a child severely affected by Down syndrome, which could have been detected with the test.”(Brody 2013) If the woman took the test she would have known about her child having Down’s Syndrome. The woman didn’t think of trying any other test but instead chose to not have any at all which resulted in her not knowing until the child was born. There is another kind of test that can help find out any defects in the child. Doing a chorionic villus sampling (or CVS) would check the placenta for any common birth defect like Down’s Syndrome. According to WebMD “Chorionic villus sampling (CVS) is a prenatal test that is used to detect birth defects, genetic diseases, and other problems during pregnancy. During the test, a small sample of cells (called chorionic villi) is taken from the placenta where it attaches to the wall of the uterus.” (WebMD 2015) This is another method to finding out if the child has any birth defects/disorders. It is said to be uncomfortable but not painful and better testing than an amniocentesis. Both an amniocentesis and a CVS have risks since they’re considered to be invasive testing. One high risk that is most talked about is having a miscarriage. For an amniocentesis, the risk of having a miscarriage is less than 1 percent according to Johns Hopkins Medicine. (John Hopkins Medicine 2015) Mayo Clinic assures that there is only .7 percent risk of having a miscarriage from a CVS. (Mayo Clinic Staff 2015) Although there’s a risk, it’s an extremely small one so it’s rare for it to happen. Results from testing can help with anything the pregnant woman needs or wants to know. Results also help make the best healthcare decisions before and after the baby is born. An article called "Prenatal Testing: Ultrasounds, Blood Tests, and Your Baby" on WebMD supports this when they said “When you’re pregnant, prenatal tests give you information about your health and your baby’s. They help detect any problems that could affect him, like birth defects or genetic diseases. The results can help you make the best health care decisions before and after your child is born.” (Prenatal Testing: Ultrasounds, Blood Tests, and Your Baby 2015) This means testing helps find any defects or diseases and also helps with any precautions the mother may have to take. Testing also lets the woman know if she has gestational diabetes which is common in pregnant women. Babycenter’s article on “Gestational Diabetes” says “This is a type of diabetes that some women get during pregnancy. Between 2 and 10 percent of expectant mothers develop this condition, making it one of the most common health problems of pregnancy.” (Gestational Diabetes 2015) Testing can detect if the mother has diabetes and she can take the precautions needed to make sure her baby isn’t affected. The woman knowing about this is better than walking around having it possibly affect her child. According to the article, women don’t stay diabetics after the baby is born. After having gestational diabetes, there’s a higher risk of getting it again in a future pregnancy or later on in life. If it’s found that the baby has Down’s Syndrome before it’s born, there’s an option of having an abortion.
Darshak Sanghavi’s article on "A Womb Without a View" says “A second benefit of prenatal screening is that it gives families a chance to decide whether they wish to continue a pregnancy at all. A huge number of women now choose abortion when faced with major birth defects.” (A Womb Without a View 2015) Sanghavi was basically saying that families can decide whether to let the baby be born and take care of it or if they feel they’re not ready for it, they can decide to abort the fetus. Many people disagree with that decision but it doesn’t matter because if the woman isn’t ready, it’s her decision. As Figure 1 shows, there’s a higher risk for birth defects in the fetus as a woman gets older. Women in their mid-20s aren’t very likely to have a child with defects but a woman in their 40s and up are at a higher risk of
it. Tests can find cancer in pregnant women. The same testing that detects chromosomal abnormalities in the baby can also detect cancer in the woman. James McIntosh from Medical News Today supports my argument by what he says in his article; "Maternal Cancer Could Be Detected During Prenatal Testing." McIntosh says “A new study has revealed that genetic testing designed to detect chromosomal abnormalities in fetuses could also detect underlying conditions such as cancer in pregnant women.” (McIntosh 2015) The results in the testing for the babies helps the woman find out whether or not she has cancer. Cancer is not frequently detected in women during pregnancy but it can still happen. If testing isn’t done, the mother may walk around with cancer without knowing it. According to Virginia Hughes in her article called "Pregnant Women Are Finding Out They Have Cancer From A Genetic Test Of Their Babies" on BuzzFeed, there were over two dozen women that found out they had cancer. In her own words she said, “Sequenom Laboratories revealed today that its prenatal genetic tests have uncovered cancer in at least 26 pregnant women.” (Hughes 2015) Women didn’t know they had cancer until they received results from testing. In 2013, there was also a 37 year old that did testing and results revealed that she had vaginal cancer. Cancer that’s detected during pregnancy is most often in the breast, cervix, colon, and ovaries. Cancer.net backed up my supporting detail in their article, “Cancer During Pregnancy,” when they said “The cancers that tend to occur during pregnancy are those that are more common in younger people, such as cervical cancer, breast cancer, etc.” (Cancer During Pregnancy 2011) Tests help find out whether the woman has any of these types of cancer before it’s too developed. Although cancer in pregnancies are rare, it could still happen. Some cancer treatments are safe for the pregnancy and others are harmful to the fetus. If the women found out by doing testing, they could talk to their doctor about risks and benefits of different tests while having cancer. Abortions are a problem when the mother finds out the baby has a disorder. Some women hear about how they would have to take care of a child with birth defects and worry. Down-syndrome.org explains it well in their article, "Issues for Families with Children with Down Syndrome." They say, “If 65-70% of families are doing fine, there are 30-35% of families who are showing signs of considerable stress or distress, for a variety of reasons. In these families, brothers, sisters and the child with Down syndrome are more likely to show behaviour difficulties. Parents are more likely to be struggling to cope and experiencing depression or health problems.” (Down Syndrome International 2015) What they said shows that although most families are fine, there’s still a part that aren’t and it affects them emotionally and mentally. Women find out about their baby having a birth defect and abort it. In Cincinnati Children’s article, "Emotional and Family Issues Related to Children with Congenital Heart Disease" they talked about how the family is affected by it. They spoke about “A child's emotions can be affected by the way his / her family members cope with the illness, as well as other issues including the stress felt by the family.” (Cincinnati Children’s 2015) It basically explains that the family constantly worries about the child’s health and take extra precautions causing stress. Some children can handle it but other children struggle with it and get nervous or anxious. The parents also notice their child doesn’t understand why they’re different and it takes a toll on them. Lastly, some people believe it’s best to “get rid” of the baby to prevent them from suffering in life. "Should Pregnant Women Who Know About Birth Defects Be Allowed to Abort?" by Samantha Cowan on TakePart talked about a study that proved women abort their babies after knowing about any defect. The article said, “Exact numbers about this decision are definitively tough to come by—it’s not a subject that even pollsters are comfortable with. But researchers have found that a consistent majority of women—up to 90 percent—with a prenatal diagnosis of Down syndrome choose to terminate the pregnancy, according to a 2012 study.” (Cowan 2015) To summarize what the article said, women that find out about birth defects in their child were most likely to abort it according to a 2012 study. The parents that abort them do it because of the risks and costs being too high. Anyone that has read this may think, “Why is this so important?” Prenatal testing is another way of watching the development of the child. Many pregnant women want to know how their baby is doing and if they’re developing on time without any complications. Without knowing how the baby is doing, the woman may find out about any defects or disorders in the child. Although there are risks of miscarriage with some tests, there’s a small percentage that makes it rare to happen. Technology is growing everyday and new things are created. With technology advancing everyday there could be non-invasive treatments created in the near future.
Pam Jenkins is a 36 year-old woman that is 30 weeks into her third pregnancy. Since her pregnancy began, Pam has gained 20 pounds. Although Pam has reduced the amount that she smokes, she continues to smoke 5 cigarettes per day, which may cause some issues with her worry of another preterm birth. Another factor that could also cause complications is her delayed prenatal vitamin use. After logging her dietary intake within a 24 hour period into SuperTracker, I will be making recommendations on how she can alter her diet and lifestyle to ensure that Pam receives the nutrients she needs for herself and for her baby.
beliefs of society. If society imposed a law that it was immoral to have children if you are extremely poor because u can not provide for them and the child’s life wont be satisfying, one could argue that with a little time the mother could move out of poverty and thus have a “good” life, or that the child may find life satisfying without much beyond basic necessities. The author claims that mandatory testing will be beneficial because it can help produce healthy children, yet assumes that all pregnant women at risk will get tested. If testing becomes mandatory many woman who avoid testing, either out of the fear of knowing if they have the disease or that they will pressured into terminating the pregnancy, many woman may avoid prenatal care all together, thus imposing more health risks on the fetus and the mother.
Laura Purdy gives the example of Huntington’s disease, which she relates it to all other genetic disorders, it is an autosomal dominant trait, meaning that it has a fifty percent chance of being passed down from generation to generation. Huntington’s disease occurs between the ages of thirty too fifty. It is a progressive disease that leads to constant contractions and irregular movements of the body eventually resulting in death. Purdy’s reasoning for her claim that it is immoral to reproduce without prenatal screening is because of genetic diseases like Huntington’s disease, it makes an average person become subjected to prolong suffering. Purdy also thinks that passing down a genetic disease like Huntington’s without their consent and risking their welfare is wrong because we aren’t taking the future being into account.
Abortion, like any other medical procedure, carries some risks. When one considers, however, that “the risk of death associated with childbirth is about 10 times as high as that associated with abortion” (“Know the Facts”), the threat of abortion suddenly does not seem as perilous. Additionally, contrary to popular misconception, abortion does not contribute to future infertility or development of breast cancer. It is therefore safer and more prudent to have an abortion than an unwanted pregnancy.
The word family cannot be described or translated by one single universal definition. Different people have different views and meanings as to what a family means to them, but however different all families share similar characteristics. The Oxford Dictionary describes a family as a group consisting of parents and children living together in a household of common descent (2014). However, in today's society, families are evolving and changing in the way that is much different than the traditional nuclear family. As noted by NY Times, in today's society a family can be comprised of a single mother or father, gay/lesbian couple, couples that are unmarried and living together with their children, inter-racial marriages and couples, raising kids from behind bars (incarcerated) and even going from friends to caretakers (Angier, 2013). The term family in today's society is so dynamic, and it is the responsibility of all obstetric nurses to understand the changing family dynamic to be able to assess and determine if the proper care can be given to a newborn based on the education level, psychosocial status, welfare and support of the patient so that the newborn can grow up in an optimal environment with their new family.
It is important to understand what women commonly experience during pregnancy. With a better understanding of what happens during prenatal development and childbirth, physicians can competently develop the best plan for the mother and baby. I interviewed two women who have been previously pregnant in order to evaluate how the ideas in the book translate into real-life experiences.
second, prenatal testing, is a testing of a fetus at risk for the disease. The
Isn 't it crazy to think that we were once just a tiny organism? Nothing more than a group cells forming together? From the time of conception, the baby develops so quickly it is remarkable. The period from conception to birth is a truly beautiful development. And while the baby is quickly being formed from cell to human, the parents are quickly learning the birthing process and all there is to expect. There are three major parts to having a baby, the prenatal development, birth and the postpartum period.
There is also a high-resolution ultrasound scanning that can detect chromosomal and physical abnormalities in the first trimester as opposed to the second trimester. A technology such as this can create many ethical problems. Mcfadyen describes the biggest problem as being informed consent. “They may believe that it will provide information only about gestational age and be unaware of the range of abnormalities that can be detected. Recent research suggests that many women are not told beforehand of the first scan’s potential to detect fetal anomalies.”
When it comes to genetic diseases and conditions, testing can be very helpful and serve a good purpose. People with diseases that are inheritable to their children are encouraged to be tested. For example, in the article about Jewish testing, it says
Prenatal genetic testing has become one of the largest and most influencial advances in clinical genetics today. "Of the over 4000 genetic traits which have been distinguished to date, more than 300 are identifiable via prenatal genetic testing" (Morris, 1993). Every year, thousands of couples are subjecting their lives to the results of prenatal tests. For some, the information may be a sigh of relief, for others a tear of terror. The psychological effects following a prenatal test can be devastating, leaving the woman with a decision which will affect the rest of her life.
Prenatal genetic screening in particular is a polarizing topic of discussion, more specifically, preimplantation genetic diagnosis (PGD). PGD is one of the two techniques commonly used to genetically screen embryos in vitro; it is usually done at the eight-cell stage of division. PGD is most often performed when there is the risk that one or both parents carry disease-causing mutations. It is extensively used by high-risk individuals trying to conceive babes who will be free of particular mutations. PGD can test for over 50 genetic conditions and even allows for sex selection if there are underlying gender-associated medical conditions. When the results are satisfactory, the selected embryo is implanted into the mother’s uterus. While a controversial technique, preimplantation genetic diagnosis is one example of some of the good genetic testing can do, more benefits will be furthe...
(2) Even people that don 't have any disease could be more prepare, and prevent it from developing in the future by being more aware thanks to the genetic test provided. Genetic screening is another valuable technology that could help a parent keep track of their baby 's health by examining their chromosomes. Genetic testing and screening could impact the life all patients in a positive way, therefore the opposing side should be grateful, and take advantage of this opportunities provided. For example, a person goes to genetically test themselves in a clinic, and they come to find out that they could potentially develop heart problems in the future. Now they can be more aware, and prepared. They could in many different ways like changing their diet or exercising more so they could better protect their heart, and decrease the chances of having the heart problems, like they where presented in the genetic test. What if the person didn 't know they had a chance to have problems? and start eating unhealthy foods that could likely speed up their changes of developing a heart disease. My point is that the same thing goes to those parent who want to get a update of their unborn child 's health. Many healthy mother don 't really expect that their pregnancy will bring some implications, but in
Arguments for and against mandatory testing for pregnant women can be broadly discussed under the following categories:
Have you ever wondered how humans are developed? Have you ever wondered how our mere existence is developed in a nine month radius? From conception to birth the process that structures the human body is known as Prenatal Development. Prenatal Development is the time a child is conceived to the time it is born. Explaining the three stages of Prenatal Development will help the reader understand the importance of it.