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Date Created: 11/14/15
Karen Christy Genetic Testing PSY104 Child and Adolescent Development April 9 2014 John Gamble Two genetic tests routinely offered to women during pregnancy are Chorionic Villus Sampling CVS and Amniocentesis Many health care professionals believe these two tests are best to determine if there are any genetic mutations or any undesired genetic risk of passing down disease and illness Many do not agree that these test are wise to use in determining these risk factors The video states that there are several benefits to these tests that they are a good way of determining the percentile of how likely it is the child will inherit their parents bad genes Chorionic Villus Sampling is an aggressive procedure that is used when there is a family history or the mother s age indicates a high risk pregnancy This test is performed between the 10th and 13th weeks According to our text CVS removes a sample of Chorionic Villi cells contained in the placenta at the point where it attaches to the uterine wall The cells are then analyzed for chromosomal and genetic abnormalities Mossler 2011 CVS is usually performed when there is a high risk of fetal complications family history age of the mother or if the doctor suspects there might be fetal abnormalities CVS could cause the placenta to separate and also cause infection miscarriage or premature labor Chorionic Villus Sampling detects chromosomal abnormalities such as Down Syndrome Trisomy 13 Trisomy 18 Turner Syndrome Sicklecell disease Cystic Fibrosis and TaySachs Disease Slight cramping and light bleeding could occur after the procedure so the mother is to notify her doctor right away The mother is to avoid heavy lifting intercourse and air travel for 2 to 3 days Amniocentesis is the drawing of amniotic uid from the protective amniotic sac that surrounds the fetus and analyzing the fetal cells Amniocentesis is usually performed after week 15 of pregnancy but could be done as early as week 11 This test is done if there is a positive prenatal screening test chromosomal condition or neural tube defect in a previous pregnancy the mother is 35 years old or older and there is a family history The Amniocentesis test for Down Syndrome Trisomy 21 Cystic Fibrosis Spina Bifida the maturity of the lungs and even DNA The risks involved are miscarriage needle injury infection Rh sensitization Infection transmission Amniotic uid leakage and even premature labor Both of these tests are routinely offered to women during pregnancy and very risky to the fetus Although science and technology has come a long way over the years it is my opinion that the benefits do not always outweigh the risks It is further my opinion that geneticist should study how to test potential parents and formulate a test which will determine the likelihood that any adverse genetic ailments would be passed to their offspring In example A Sarah and Tony are expecting their first child and their doctor wants to do invasive genetic testing Sarah agrees but Tony is more hesitant Traditionally the father did not have much say in the way of prenatal care delivery options and even postnatal care Today however fathers have more say in all three areas of pregnancy Fathers even have a say as to whether the mother is allowed to abort a fetus In this case Tony in my opinion is correct with being reserved about having any invasive test done on his unborn child If there is no family history known the prenatal screening came back ok and Sarah is not over the age of 34 years of age then I feel Tony has the right to be hesitant on any invasive testing that could cause potential harm or even death to the unborn child On the same token Sarah has a right to know if any genetic ailments might be handed down to their child If the test is done and the child has something mentally or physically wrong then the parents have a chance to prepare themselves While genetic research has opened up new possibilities to assess fetal health the sheer volume of information generated by prenatal testing also raises unique medical ethical legal and social questions for patients and healthcare providers The ability to conduct genomewide analyses of the developing fetus magnifies the intensity of our uncertainties and in some cases our comfort with integrating the newest genetic technologies to patient care This symposium will examine these issues as they affect the care of pregnant women both in the present and in the future with as the fields of clinical genetics and maternalfetal medicine advance I do not feel genetic testing should be used to determine if a child should be born or not but to help the parents prepare themselves My second child was conceived on the Depo shot so my doctor advised me it might be good to has the Amniocentesis done to see if my daughter would be born with a down syndrome or another mental handicap The other thing my doctor wanted done was for me to have ultrasounds done on a monthly basis due to my child could of been born missing parts or whole limbs I choose not to have the Amniocentesis done but I did agree to the monthly ultrasounds My daughter is fine She does have trouble at times comprehending some things but she is in all advanced classes but reading She also was born with all her limbs I feel I made the right choice for myself and my child REFERENCES Ferrell R 2012 April 13 Department of Bioethics and Obstetrics amp Gynecology Cleveland Clinic Foundation Retrieved April 9 2014 from httpWWWlaWcaseeducenterslawmedcontentaspcontentid201 Mossler R 2011 Child and Adolescent Development San Diego CA Bridgepoint Education Inc Simson G Producer 2007 Prenatal genetic counseling Video file Retrieved from httpWWWvideojugcomintervieWprenatalgeneticcounseling
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