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Re: first do no harmFrom: arthur c. fougner, md (evsono@pipeline.com)Thu Dec 12 13:29:25 1996
><<Can anyone prove that parents are TRULY >better off knowing of their baby's defects so many months before birth? >I think many medical practitioners think that they are...I'm not sure >that is so. How does one "plan" better to care for a Down's baby at 20 >weeks than at birth or shortly after? >> here's my $).02: with regard to congenital heart disease, there is no question that prenatal diagnosis may favorably alter outcome by allowing the affected child to be born in the appropriate birth setting with the appropriate team in attendance. here is one situation in which the child's illness may not be obvious at birth. infact, there are now all too many instances in which children were discharged home in good condition only to be rushed back to the hospital in extremis. additionally, moms and babies have been separated as the baby is transferred to the specialty neonatal hospital while poor mom recovers in another. the question is quite complex, but as the focus of prenatal diagnosis begins to shift from termination if abnormal to correction of correctable problems, the choices may seem more clear. thanks art fougner, md SonoScan/Genetic Sciences Forest Hills, NY evsono@pipeline.com
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