Sunday, September 14, 2008
Down's tests are great risk for all babies Screening for syndrome puts healthy foetuses in danger of being miscarried, new research shows
and was published in The Observer, Sunday September 14 2008
Down's tests are great risk for all babiesScreening for syndrome puts healthy foetuses in danger of being miscarried, new research shows
Victoria Macdonald The Observer, Sunday September 14 2008 Article historyRisks in screening unborn babies for Down's syndrome are far higher than previously claimed, new research will say this week. For every three unborn Down's syndrome babies prevented from being born, two healthy babies will be miscarried because of the methods used to detect the condition.
The research claims that, in detecting and preventing the birth of 660 Down's babies, 400 healthy foetuses are lost.
The research casts doubt on the advice and risk assessment given to women when they are deciding whether to undergo the screening and subsequent testing to assess the health of an unborn baby. The National Health Service currently cites a miscarriage rate of between 1 and 2 per cent following the invasive amniocentesis and chorionic villus sampling (CVS) tests, which are offered to expectant mothers who are considered to be 'at risk'.
The authors of the paper - which is being published in the Down's Syndrome Research and Practice journal - say that, while the number of pregnancies diagnosed with Down's syndrome that are terminated, miscarried or born are recorded, no analysis has ever been attempted to determine the number of non-Down's babies lost.
The authors are from the charity Down's Syndrome Education International and might therefore be accused of pursuing their own agenda, but the research has been shown to a number of screening experts who have assessed the findings. In a film to be screened on Channel 4 News at 7pm on Tuesday, Professor Kypros Nicolaides, head of the Harris Birthright Centre at King's College Hospital in south London, will say it is 'completely unacceptable' to lose this number of normal babies.
'Our aim must be to improve the detection of foetuses with Down's in those women that want to have a test and dramatically reduce the number of normal babies that are lost as part of this process of screening,' said Nicolaides, who has been a pioneer in the use of ultrasound for improving screening.
The authors of the study - Frank Buckley and Professor Sue Buckley, a director of the charity who also works at Portsmouth University's psychology department - blame false screening results in the initial blood testing and then the use of subsequent testing, which involves inserting a fine needle through the woman's abdomen and either withdrawing amniotic fluid or taking a tissue sample.
To detect as many Down's babies as possible, the initial screening threshold is set wide, which means that more than 95 per cent of women defined as 'high risk' will not be carrying a baby with the disorder, yet most go on to have the amniocentesis or CVS tests.
The Buckleys and Nicolaides are particularly concerned about how well qualified the staff are who carry out the invasive testing and about their ability to use ultrasound. Studies in the past have shown that loss rates following amniocentesis are six to eight times higher among inexperienced practitioners.
Because no records of non-Down's baby losses have ever been kept, the Buckleys say that their ratio of three to two can only ever be an estimate. But their methodology appears to have been broadly accepted.
'We are looking at the wider question of public health policy,' said the Buckleys. 'The screening for Down's syndrome has consequences for every pregnant woman. You cannot look at it as just a search-and-destroy mission focused on babies with Down's alone.'
About 750 Down's babies are born every year in England and Wales and the Department of Health said the primary aim of screening for the syndrome was to help women make informed decisions about their pregnancies. A spokesman said the programme was based on the latest evidence and supported the most effective test in terms of both the detection rate and the aim of lowering the screen-positive rate 'in order to minimise the number of diagnostic tests'.
The National Institute for Health and Clinical Evidence has recommended a new 'combined screen', which is meant to be more effective in assessing who is at risk, but this has yet to be rolled out nationally.
The Down's charity has now written to the government asking for a thorough reappraisal of the 'purpose, performance and safety' of the screening programme.
· Victoria Macdonald is social affairs correspondent for Channel 4 News.THE SAD THING ABOUT THIS... I KNOW THERE IS SUCH A LONG WAITING LIST IN THE US FOR ADOPTING KIDS WITH DS. I WOULD LOVE TO SOMEDAY ADOPT ONE- DON'T KNOW IF IT WILL EVER BE RIGHT FOR OUR FAMILY- BUT, IF THEY ONLY THOUGHT ABOUT CARRYING THE BABY TO TERM AND ADOPTING THEM OUT. AND ALL THOSE BABIES LOST TO INCONCLUSIVE TESTS!!!! WHAT A SHAME!!!
Friday, July 25, 2008
Our Friend Kennedy
Please excuse the video- I don't know how to get a smaller version- unless someone can tell me!!
Tuesday, July 15, 2008
Down Syndrome Babies: An "Endangered Species"?
October 27th, 2006
Under Barb Tennant's article is a handwritten speech by Mrs. Tennant's daughter, Julie Tennant. Julie talks about her Down syndrome, her love of life, and how blessed she is an extra "love chromosome."
In October of 2006, my husband and I visited the Holocaust Museum in Washington, D.C. It was heart-wrenching to see what Nazis did with “special needs” people. Their methods of trying to create a “pure” race” and use the processes of “selection” were horrifying! Those tactics would never be allowed in the United States…would they?
Actually, something similar to genetic "purification" does happen in America today. A simple blood test for pregnant women will show the possibility or probability of giving birth to a baby with Down syndrome. A study in the March 2006 issue of the American Journal of Obstetrics and Gynecology reveals what happens to babies who are prenatally diagnosed with Down syndrome. Billed by the Harvard University Gazette as “the largest and most comprehensive study on prenatally-diagnosed Down syndrome to date,” the article reveals that of all the women who test positive for the probability of this kind of birth, 80-90 percent choose to abort. The sad situation is made worse by the fact that some prenatal testing for Down syndrome is wrong 20-40 percent of the time.
Is this any better than the Nazi tactics for doing away with the unwanted? No! We have tidied the process and made it legal but the end result is the same. A Canadian study of 22,000 women who received prenatal diagnosis for Down syndrome found that 88 percent chose abortion. That would count for 19,360 blessings unborn.
What I find so ironic is that if Down syndrome babies were considered a separate species, they would all be eligible for the “endangered or threatened species” list.
The Endangered Species Act of 1973 was created to “protect endangered and threatened species and take steps to recover these species as key components of America’s heritage.” An “endangered species is one that is in danger of extinction throughout all or a significant portion of its range.” Killing 88 percent of a species would certainly qualify as being in danger of extinction!
To help conserve genetic diversity, the ESA defines “species” broadly to include subspecies and distinct populations. The ESA decides which species to list by a priority system designed to direct their efforts towards those in greatest need. In their own words, they give no preference to popular species or so-called “higher life forms.” Shouldn’t pre-born Down syndrome people at least be considered “a life form”? Where are the PETA people? Why isn’t the ACLU jumping to defend this life issue?
If Down syndrome children were identified as an endangered species, organizations all over the world would probably pour resources into a “Save The Down Syndrome Creatures” foundation. There would be rallies, posters, and bumper stickers. Congress, on behalf of the American people, protects many varieties of mammals, birds, reptiles, amphibians, fishes, clams, snails, insects, arachnids, crustaceans, and several plant species. As of October 10, 2006, a total of 1,009 different species are listed as endangered and 302 as threatened in the United States alone. But alas, a human being who will potentially have Down syndrome isn’t given as much value as one of these. DDT was even banned in order to preserve the eggs of bald eagles—that is, would-be eagles! But we won’t protect “would-be” people with Down syndrome? Why is there no outcry in the media?
I have tried to understand the evolutionist and pro-choice groups’ points of view. I try to keep an open mind, but their arguments seem to contradict themselves. “We’ll protect these but not those…these creatures are valuable but those lives are worth less than our freedom…” Perhaps my strong opposing stance comes from the fact that my own mother tried unsuccessfully to abort me, 58 years ago. The fact that I can write this and even have an opinion is an amazing gift. There isn’t a day that goes by that I am not aware of how precious life is. If abortions were legal in 1948, I would have no voice to speak on this issue or any other.
The other reason I feel so strongly about this subject is that our youngest daughter Julie is 31 years old and has Down syndrome. Last September, Julie spoke to over 500 people at a Sanctity of Life event and received a standing ovation. Her entire being radiates with a profound simplicity and honesty that this complicated world desperately needs. Why 80 to 90 percent of women abort when they think they may have a child – a gift! – like this is beyond my thinking.
To me, pro-choice isn’t a matter of which of my fetuses should live. It’s a matter of choosing to accept the fetus I conceived and raise them to their highest potential.
Julie's Speech on Sancitity of Life Sunday:
(go to this site to read her speech)
http://www.centerforajustsociety.org/press/forum.asp?nav=publications&cjsForumID=1023
Barbara and Julie Tennant live in Syracuse, New York. Barbara's husband--Julie's dad--is named Randy, and the Tennants have three other children and four grandchildren. Barb and Randy have a passion to help build strong families. Please email your comments to forum@ajustsociety.org.
Thursday, May 8, 2008
Inclusion vs Special Day Classes
So, here's the interesting fact he shared with us about inclusion. He said that the number of kids with ds included in the United Kingdom is 80%. Guess how many kids are included in the US???? Only 7%!! Wow, what a difference. No wonder so many districts have such a hard time with inclusion. Although it is the law, or our right, to include first- it is a realitively new thing and they don't have that much experience with it. I know this is a touchy subject for some- so let me say right now.... I respect anyone's decision either way. You know your kid the best and you know what kind of class setting is best for them. I would like to have Sadie included- but that will be determined by her and her needs. Right now we are in a SDC for preschool and I couldn't be happier with the program or the teacher!
But, they did a study on kids who were from two different areas- one that offered SDC's (in a separate school) and one that offered inclusion. So the study didn't have variables like that kids that are a little more high functioning, etc. that typically fight for inclusion. He said that the kids who were included were 2-3 grades adhead of the SDC classes. Once again... no judgements- just interesting. He did say one thing, since we have the option- what would it hurt to try inclusion? It is easier to start with inclusion and change to SDC. If you start with SDC it is like swimming upstream. It is like changing their whole world and teaching environment.
Saturday, May 3, 2008
Parable of the Butterfly
Parable of the Butterfly
A man found a cocoon of a butterfly. One day a small opening appeared. He sat and watched the butterfly for several hours as it struggled to force its body through that little hole.
Then it seemed to stop making any progress. It appeared as if it had gotten as far as it could, and it could go no further.
What the man, in his kindness and haste, did not understand was that the restricting cocoon and the struggle required for the butterfly to get through the tiny opening were God's way of forcing fluid from the body of the butterfly into its wings so that it would be ready for flight once it achieved its freedom from the cocoon.
Sometimes struggles are exactly what we need in our lives. If God allowed us to go through our lives without any obstacles, it would cripple us. We would not be as strong as what we could have been. We could never fly!
I asked for Strength.....And God gave me Difficulties
I asked for Wisdom.....And God gave me Problems to solve.
I asked for Prosperity.....And God gave me Brain and Brawn to work.
I asked for Courage.....And God gave me Danger to overcome.
I asked for Love.....And God gave me Troubled people to help.
I asked for Favors.....And God gave me Opportunities.
I received nothing I wanted ....And everything I needed!
Tuesday, April 29, 2008
Well, it's been a week!
So, I'll just leave you with a poem I found on someone else's blog.. one I have loved many times in the past 3 years.
The Creed of Babies with Down Syndrome
My face may be different
But my feelings the same
I laugh and I cry
And I take pride in my gains
I was sent here among you
To teach you to love
As God in the heavens
Looks down from above
To Him I'm no different
His love knows no bounds
It's those here among you
In cities and towns
That judge me by standards
That man has imparted
But this family I've chosen
Will help me get started
For I'm one of the children
So special and few
That came here to learn
The same lessons as you
That love is acceptance
It must come from the heart
We all have the same purpose
Though not the same start
The Lord gave me life
To live and embrace
And I'll do it as you do
But at my own pace
Monday, June 18, 2007
Some notes from Sadie's IEP
"I'm toast!!! I can't believe how exhausting these past few days have been. I decided early that I wasn't going to stress out and make my family miserable while I waited to see what the school district thought about Sadie. I was doing a good job until yesterday about 2 pm. Last Tuesday she was assessed. I loved the team and thought that although she didn't do everything she could- she also did things we don't see her doing consistently- so everything pretty much came out even in the wash! After the assessment they keep saying how attentive she was, what a long attention span she had and how determined she was even though she didn't complete a lot of the tasks. Ok- I'm reading between the lines.. that means she will do well in therapy because she will sit and try- and she needs more instruction because she wasn't completing the tasks. Yesterday my husband got the report faxed to his office. He started reading it to me, and I am a visual person, so I tried to listen and not make judgments. I agreed with almost all of the results. What she could and couldn't do- or at least how she was testing. I've been told she isn't a good tester- but you just need to observe and see she does really well. Every therapist, dr., you name it tells me how high functioning she is. As I'm hearing the results I hear, her cognitive level is very low functioning. Ouch!!!!~ What is he talking about? The tester called and I asked him 4 times who she is being tested against, all three year olds, typical 3 yr olds or just kids with special needs. He tells me just kids with special needs. So she is in the 1 % of kids with special need? Like kids who won't give any eye contact, kids who have no control of their body?? I was devastated. I cried for 4 hours. I finally decided he didn't know Sadie and I knew she was sitting on my floor reading her book, singing songs and was happy. I have one kids who scores 99%-100% across the board on all her standardized tests and can't follow a three step command, freaks out in a bind and who struggles to be happy everyday. She's the one I would worry about- but the school system thinks she has it made. Long story short- he tested her on an average IQ range. She scored in the middle of 1%. I'll take that. I know she is mentally retarded. As much as I hate it, it comes with the Down Syndrome. 1% on an average IQ is not in the mentally retarded range. So, even though she did not do as well as we know she can- and even though she was delayed- they said she is within normal IQ range. Not by much- but she is. Then they spent the first 20 mins. telling me how great she did and how much they think she will thrive in school. I'm so exhausted. I should have never listened to them in the first place. Sadie is Sadie and no test is going to change that. I will have to brag a little- her receptive language is 34 months (she was 35 at testing) and her social emotional is 38 months. How could any kid with that kind of receptive score be very low functioning??? I think I'm the one who needs help since I listen to him!"
And here is an update after some replies (I'm not sure they understood what I was saying)...
"Thanks everyone! I happen to have my friend who came into town a couple of minutes before the IEP with me. She is a special ed. teacher for severally profound disabled children in Utah. She was horrified they would give her a test that they do not use on children with Down Syndrome (because it is for typical children). Which is really not a good test for her anyway, because she is more audio and it was a visual acuity test with fine motor skills- and she has poor wrist and shoulder strength and movement. I think they were trying to compliment Sadie because she was so cooperative- but the misunderstanding was devastating. I really thought they were telling me she was profoundly retarded. Which would be hard no matter what- but came out of no where! Every therapist she has ever worked with has been amazed at her abilities. Good news... they gave her more speech than usual because of her attention span. And they were so worried about the misunderstanding-that they gave her OT through the summer with an evaluation due by the start of the school year and a PT and APE evaluation. She is actually getting more therapy than I thought she would. Currently she does not qualify for speech because she does not have enough of a delay. Don't get me started on that one!!!! Her articulation has a lot to be desired and she still is delayed."
