Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
ethical genetic screening from birth
ethical dilemma of prenatal genetic testing
ethical argument of prenatal screening
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: ethical genetic screening from birth
Child is a gift from God. Every parent hopes for a healthy child. Abnormalities in the fetus growth have become common nowadays. These abnormalities may be due to physical, radiation and chemical factors. The most common factor is due to genetic mutation, which causes mental retardation, abnormal body buildup and other conditions, which bring a lot of troubles in the future to the child themselves and their parents. Modern technologies and innovations in the medical field had developed a method known as prenatal screening to detect the abnormality before birth and prevent this future tragedy to happen. It is screening for the detection of fetal diseases, usually by ultrasound examination or by testing the amniotic fluid obtained by amniocentesis (Williams & Wilkins, 2004). It is available to all pregnant women. Others screening techniques may include maternal serum, placental biopsy, and genetic test. There are several advantages and disadvantages of prenatal screening.
There are several techniques of prenatal screening. The most common is blood testing. It is used to determine the blood type and Rh factor of a mother and the fetus. This is to prevent the complication caused by antigen-antibody reaction of Rh group of the mother and the fetus which may lead to haemolytic anemia. Besides that, blood test is also able to detect some of the blood borne diseases such as HIV, Hepatitis B, C and D and rubella. Ultrasound, on the other hand, can determine the growth and development of a fetus in the amniotic sac. It can detect structural defects such as spinal bifida and anencephaly, congenital heart defects, gastrointestinal and kidney malformations and cleft lip. Furthermore, genetic test is used to determine the chromosome condit...
... middle of paper ...
...ration in the future, for example, autoimmune disease. When prenatal screening detects this condition, some of the immunosuppressed drugs can give to the baby to suppress the immune system. In the point of view of doctors, prenatal screening provides them with knowledge on the condition of the future, thus enable good information to the parents. By doing that, it prevents them from medical legal issues. Therefore, prenatal screening will actually guarantee the future generation with a better life and protect the doctors from medical issue.
In conclusion, prenatal screening has both benefits and harms. It will enhance a better generation and prevent the doctor from medical issues. On the other hand, it increases the abortion rate and gives rise to the human right issues. By thinking rationally toward the positive sides, prenatal screening actually benefits to us.
During pregnancy an echocardiogram of the fetus can be done to produce images of the heart by sending ultrasonic sound waves to the vital organ. These sound waves create an image for the physician to analyze the babies heart function, structure sizes, and blood flow. A positive diagnosis before birth has shown to improve chances of survival, and will allow for appropriate care to be readily available at birth. If a baby is born without being diagnosed with the heart defect, some symptoms previous noted such as low oxygen levels can be suggestive of hypoplastic left heart syndrome. The baby may not display any symptoms or signs for hours after birth because of the openings allowing for blood to be pumped to the rest of the body. However, listening to the babies heart can revel a murmur indicating an irregular flow of blood in the heart. If a murmur is heard, or signs of the defect are observed, diagnostic tests will be ordered and performed. An echocardiogram is still the go-to test once the baby is born to evaluate the heart. The echocardiogram will diagnose the newborn, by revealing the underdeveloped left ventricle, mitral and aortic valve, and the ascending aorta commonly seen in
second, prenatal testing, is a testing of a fetus at risk for the disease. The
Amniocentesis offers many advantages to the expecting mother. This test determines whether the unborn baby has genetic or chromosomal abnormalities. It identifies several hundred genetic disorders including some of the most common such as Down syndrome and Edward’s syndrome. It can also identify other genetic disorders such as Tay-Sachs disease, Huntington’s disease, Sickle cell disease, and cystic fibrosis. Other testing techniques such as ultrasounds pick up on these problems. Only amniocentesis is able to provide the information needed to diagnosis these problems in the womb. Amniocentesis can also indicate whether the baby is at risk for spina bifida and anencephaly. The test is more than 99 percent accurate in diagnosing these various conditions. It is the only test that can provide results which are accurate. Other important reasons to have the test include checking the well being of the baby. This is important if the mother has blood sensitization, such as Rh sensitization. Also the test can determine whether the baby’s lungs are mature enough for an early delivery if the mother appears to be in premature labor.
At birth the neonate goes through many physical changes (Fraser & Cooper, 2009). The most dramatic and difficult being when the newborn takes its first breath (Meeks & Hallsworth, 2010). This breathing triggers change within the heart, lungs, blood flow and every other system of the neonate (Coad & Dunstall, 2009). During the first few minute until 6 hours of life, the neonate is considered to be transitioning from intrauterine to extra-uterine life (Sinha, Miall, & Jardine, 2012). It is within this time that the neonate needs close observations to evaluate their progress into their new life, thus showing the importance of newborn examinations within neonatal care (Fraser & Cooper, 2009).
Carrier testing is a popular option for couples who are looking to reproduce and are coming from at-risk populations. It is common for those who chose to undergo carrier testing to be aware of results or genetic disease in their family history. Prenatal testing is available to determine whether a fetus has inherited two, one from each parent, copies of the mutated gene that will cause TSD. Prenatal testing is generally utilized when both parents cannot be ruled out as carriers. Prenatal testing is performed via an assay of Hex A enzyme activity in the fetus’s cells. The cells are taken by chorionic villus sampling—when tissue is taken from the fetal portion of the placenta— or amniocentesis—where amniotic fluid is
The fetus may measure under expected weight, and with later ultrasounds, physical abnormalities may be seen. The use of an ultrasound is not a full proof method of diagnosis for trisomy 18. During the end of the first trimester, pregnant mothers are given the option of prenatal screening to assess the fetal risk of certain chromosomal abnormalities, including trisomy 18. This testing referred to as combined test, combines results from the mother’s blood and the ultrasound results. If results suggest a higher risk probability, a later more conclusive test will be scheduled. During the 15th to 18th week of pregnancy, an amniocentesis or chorionic villus can be performed to have a detailed analysis of the fetal chromosomal material which will show any abnormalities in their karyotype. There is a slight risk with both procedures of injury of the fetus or possible miscarriage. Newer testing has been developed as “non-invasive prenatal diagnosis,” which involves extracting fetal DNA from the mother’s blood sample. After birth, diagnosis is suspected based on physical attributes of the infant. As with before birth, blood testing for chromosome analysis is used for confirmation testing.
Carrier screening has been widely important in the Ashkenazi Jewish population. The screening has allowed many carrier couples to seek other options when starting a family. The main options for many families are pregnancy with prenatal screening, in-vitro fertilization, use of donor egg or sperm, and adoption. The prenatal screening method is not recommended, but it is possible. The method is very similar to carrier screening. If the couple has two carriers, DNA can be taken from the fetus to determine the health of the pregnancy. Overall, carrier screening is proven to be an effective method in locating a carrier of
As for the concern with genetic abnormalities a process called Amniocentesis can be performed before the sixteenth week into pregnancy. It is suggested that this screening be done sooner in the pregnancy. Amniocentesis is a fetal screening process in with they take fluid from your amniotic sac and derive cells from the fluid and make a culture out of the cells. You should consider this as the doctors can then examine the culture to indicate genetic or chromosomal abnormalities. I will forewarn you that it does contain the risk of causing a miscarriage however. Do to the fact that you are conceiving at this age it is recommended that you have some sort of screening done and in fact its quite the norm for women approaching towards their forties to have it done. There is a procedure that can be done later on in the pregnancy but it has a higher miscarriage risk. If you and your doctor come to the conclusion that this is not the route you want to go there is a blood test that can be done on both of you to detect neural tube defects like Spina Bifida and certain chromosomal abnormalities. This process is called alpha-fetoprotein. If you want to eliminate any extra miscarriage risk added from amniocentesis then you should opt to talk to your care physician about the latter of the two
In recent years, genetic testing has become a popular topic in the media. Usually involving cheek swabs, blood samples, or amniotic fluid samples, the procedure is relatively simple and can help diagnose genetic disorders, determine ideal medication types, or simply determine the patient’s heritage. It has saved many lives from cancer and other afflictions, but to say that genetic testing is always the correct choice is false. There are many issues with the tests, considering that they are new to the medical world. Genetic testing is mostly harmful because of privacy concerns, how underdeveloped it is, and the risk of it pushing a mother to abort her child.
...ce of mortality, education can also be given to them about healthy child development and what to expect when they deliver their child. This can help reduce the amount of children becoming ill. A program such as the one described can have a positive impact and has the potential of saving millions of lives.
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...
Being healthy while pregnant is an important factor when considering carrying a baby. The risk of dying by giving birth is higher than having an abortion (ProCon). Not at women can handle the negatives of giving birth and survive through them. If a woman is aware that should is not healthy enough to give birth, she
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.”
In adults, sampling methods typically involve taking DNA through blood draws, hair pulls, skin samples, or samples of other tissues. In fetuses, however, there are two techniques that can be used to obtain genetic information: amniocentesis and chorionic villus sampling. Through amniocentesis, amniotic fluid is taken from the placental sac and tested directly. The other method is chorionic villus sampling, where a tissue sample is tested after being taken directly from the fetus (National Library of Medicine, 2014). Genetic testing has become a routine procedure to test newborns for various genetic diseases.
Newborn screening is the practice in which the harmful or potentially fatal conditions that can affect the infant's health or survival are detected. This process can prevent death or health problems and protect the infant against certain diseases and medical conditions. Newborn screening started in 1960's when many states in U.S.A. established a newborn test program for phenylketonuria (PKU) by using the Guthrie method, a system for the collection and transportation of blood samples on filter paper. Many Infants showed developments while receiving treatment. This success led to the addition of tests for other metabolic diseases. Over time, tests were added for endocrine disorders and now newborn screening program include more than 50 individual conditions.