Unit 10: Foetal (Fetal) Quality Control Flashcards
Ethical issues arising from testing/monitoring/controlling seen differently resulting from cultural variances. What should be considered?
Areas to consider….
1) Prenatal testing leading to abortion
2) Prenatal testing leading to foetal surgery
3) Surveillance of pregnant women’s behaviours
What do feminists and most civil rights advocates argue about women’s health?
They argue that the woman’s health (and decision making that goes with it) must be a woman’s.
In Canada, under the 1982 Charter of Rights and Freedoms (sec 7…security of person) the
woman must be _______.
paramount
What does paramount mean?
more important than anything else; supreme
What are the 4 prenatal tests that lead to abortions?
- amniocentesis
- ultrasound
- chorionic villus sampling
- maternal serum alpha-fetoprotein testing or AFP)
What are prenatal tests used for in other parts of the world?
-used to determine gender
(not allowed in Canada for abortion purposes)
What is a handicap?
a condition that markedly restricts a person’s ability to function physically, mentally, or socially
What is a disability?
a physical or mental condition that limits a person’s movements, senses, or activities.
What Prenatal Testing Leading to Fetal Surgery?
The scientific advance that made it possible to perform surgeries on fetus’s inside the womb.
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 (______________).
1980s
utero= while the fetus was still in a woman’s womb
What does Surveillance of Maternal Behaviour potentially invade?
Can be invasive in many areas of a woman’s life and parenthood.
Why is controlling quality of fetus a womens health issue?
it is the woman’s body
What is chromosomal anomoly?
to many or to few chromosomes in each cell.
What is the most common type of chromosomal anomoly? 2nd most common?
1st=downsyndrome
2nd= extra chromosome 18
What does extra chromosome 18 cause?
- causes mental and physical abilities.
- most babies born with it die.
What is nural tube defect? and what does it cause?
problem with the brain or spinal cord.
- mental disabilities
- problems walking
What is prenatal screening?
- 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)
What are the different types of prenatal testing?
- ultra sound between weeks 11-13
- blood sample btwn weeks 12-13 and weeks 14-15.
Where is prenatal testing and screening a womans choice?
Canafa
What did Dr.Liley develop in the 1960’s?
came up with Rh difference btwn baby and mother.
What is amniocentesis?
``the sampling of amniotic fluid using a hollow needle inserted into the uterus, to screen for developmental abnormalities in a fetus.
What is Chorionic villus sampling?
going through belly button and takes small piece of placenta
Women can spontaneously miscarriage because of what to testings?
amniocentesis and Chorionic villus sampling
What is the infant mortality rates for fetal surgeries?
60-75%
