Unit 10: Foetal (Fetal) Quality Control

Question 1

Ethical issues arising from testing/monitoring/controlling seen differently resulting from cultural variances. What should be considered?

Answer 1

Areas to consider….

1) Prenatal testing leading to abortion
2) Prenatal testing leading to foetal surgery
3) Surveillance of pregnant women’s behaviours

Question 2

What do feminists and most civil rights advocates argue about women’s health?

Answer 2

They argue that the woman’s health (and decision making that goes with it) must be a woman’s.

Question 3

In Canada, under the 1982 Charter of Rights and Freedoms (sec 7…security of person) the
woman must be _______.

Answer 3

paramount

Question 4

What does paramount mean?

Answer 4

more important than anything else; supreme

Question 5

What are the 4 prenatal tests that lead to abortions?

Answer 5

• amniocentesis
• ultrasound
• chorionic villus sampling
• maternal serum alpha-fetoprotein testing or AFP)

Question 6

What are prenatal tests used for in other parts of the world?

Answer 6

-used to determine gender

(not allowed in Canada for abortion purposes)

Question 7

What is a handicap?

Answer 7

a condition that markedly restricts a person’s ability to function physically, mentally, or socially

Question 8

What is a disability?

Answer 8

a physical or mental condition that limits a person’s movements, senses, or activities.

Question 9

What Prenatal Testing Leading to Fetal Surgery?

Answer 9

The scientific advance that made it possible to perform surgeries on fetus’s inside the womb.

Question 10

By the ___, it was possible to surgical treat the fetus. It began to be explored as science advanced and began to be a separate surgical specialty, performing surgeries utero (______________).

Answer 10

1980s

utero= while the fetus was still in a woman’s womb

Question 11

What does Surveillance of Maternal Behaviour potentially invade?

Answer 11

Can be invasive in many areas of a woman’s life and parenthood.

Question 12

Why is controlling quality of fetus a womens health issue?

Answer 12

it is the woman’s body

Question 13

What is chromosomal anomoly?

Answer 13

to many or to few chromosomes in each cell.

Question 14

What is the most common type of chromosomal anomoly? 2nd most common?

Answer 14

1st=downsyndrome

2nd= extra chromosome 18

Question 15

What does extra chromosome 18 cause?

Answer 15

• causes mental and physical abilities.

- most babies born with it die.

Question 16

What is nural tube defect? and what does it cause?

Answer 16

problem with the brain or spinal cord.

• mental disabilities
• problems walking

Question 17

What is prenatal screening?

Answer 17

• comes from ultrasounds and blood sample
• negative screen means risk is under the threshold
• positive screen means over threshold, baby may be at risk (only small chance baby will be affected)

Question 18

What are the different types of prenatal testing?

Answer 18

• ultra sound between weeks 11-13

- blood sample btwn weeks 12-13 and weeks 14-15.

Question 19

Where is prenatal testing and screening a womans choice?

Answer 19

Canafa

Question 20

What did Dr.Liley develop in the 1960’s?

Answer 20

came up with Rh difference btwn baby and mother.

Question 21

What is amniocentesis?

Answer 21

``the sampling of amniotic fluid using a hollow needle inserted into the uterus, to screen for developmental abnormalities in a fetus.

Question 22

What is Chorionic villus sampling?

Answer 22

going through belly button and takes small piece of placenta

Question 23

Women can spontaneously miscarriage because of what to testings?

Answer 23

amniocentesis and Chorionic villus sampling

Question 24

What is the infant mortality rates for fetal surgeries?

Answer 24

60-75%

Question 25

-As of 2005 and presently in 2011, what it the rate of women in Canada are living in poverty?

Answer 25

1 in 7