President Obama reverses abortion-funds policy

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quick·en (kwĭk'ən) Pronunciation Key
v. quick·ened, quick·en·ing, quick·ens

v. tr.

1. To make more rapid; accelerate.
2. To make alive; vitalize.
3. To excite and stimulate; stir: Such stories quicken the imagination.
4. To make steeper.

v. intr.

1. To become more rapid. See Synonyms at speed.
2. To come or return to life: "And the weak spirit quickens" (T.S. Eliot).
3. To reach the stage of pregnancy when the fetus can be felt to move.
 
This policy is a revision of the policy posted on November 1, 1995.

CLINICAL REPORT



PEDIATRICS Vol. 110 No. 5 November 2002, pp. 1024-1027


--------------------------------------------------------------------------------

AMERICAN ACADEMY OF PEDIATRICS


Perinatal Care at the Threshold of Viability
Hugh MacDonald, MD and Committee on Fetus and Newborn



In the United States, an increase in the number of births of extremely preterm infants and in their survival potential has occurred over the last decade. Determining the survival prognosis for the infant of a pregnancy with threatened preterm delivery between 22 and 25 completed weeks of gestation remains problematic. Many physicians and families encounter the difficulty of making decisions regarding the institution and continuation of life support for an infant born within this threshold period. This report addresses the process of counseling, assisting, and supporting families faced with the dilemma of an extremely preterm delivery.




The survival rate for infants born preterm has improved over the last 2 decades and is likely to continue to improve. An infant born at the threshold of viability presents a variety of complex medical, social, and ethical decisions. Although the incidence of such births is low, the number of extremely preterm births has increased, and the impact on the infants, their families, the health care system, and society is profound.

The survival rate for infants born from 22 to 25 weeks of gestation increases with each additional week of gestation.1,2 However, the incidence of moderate or severe neurodevelopmental disability in surviving children assessed at the age of 18 to 30 months is high (approximately 30%–50%) and does not appear to decrease over the 23- to 25-week gestation period.2–9 Many of these infants require prolonged intensive and long-term care. The commitment for , multidisciplinary, lifelong, and costly. Because the families bear theall aspects of care may be extensive emotional and financial consequences of the birth of an extremely preterm infant, it is essential to inform the prospective parents regarding the expectations for infant survival and outcome and the risks and benefits of various approaches to care.
 
Don't you guys just hate it when people make statements out their butts that they cannot support?
 
That's what makes the boards more interesting though!

You just gotta bat 'em as they toss them. But we all got to retire sometime.
 
jillio said:
This policy is a revision of the policy posted on November 1, 1995.

CLINICAL REPORT



PEDIATRICS Vol. 110 No. 5 November 2002, pp. 1024-1027


--------------------------------------------------------------------------------

AMERICAN ACADEMY OF PEDIATRICS


Perinatal Care at the Threshold of Viability
Hugh MacDonald, MD and Committee on Fetus and Newborn



In the United States, an increase in the number of births of extremely preterm infants and in their survival potential has occurred over the last decade. Determining the survival prognosis for the infant of a pregnancy with threatened preterm delivery between 22 and 25 completed weeks of gestation remains problematic. Many physicians and families encounter the difficulty of making decisions regarding the institution and continuation of life support for an infant born within this threshold period. This report addresses the process of counseling, assisting, and supporting families faced with the dilemma of an extremely preterm delivery.




The survival rate for infants born preterm has improved over the last 2 decades and is likely to continue to improve. An infant born at the threshold of viability presents a variety of complex medical, social, and ethical decisions. Although the incidence of such births is low, the number of extremely preterm births has increased, and the impact on the infants, their families, the health care system, and society is profound.

The survival rate for infants born from 22 to 25 weeks of gestation increases with each additional week of gestation.1,2 However, the incidence of moderate or severe neurodevelopmental disability in surviving children assessed at the age of 18 to 30 months is high (approximately 30%–50%) and does not appear to decrease over the 23- to 25-week gestation period.2–9 Many of these infants require prolonged intensive and long-term care. The commitment for , multidisciplinary, lifelong, and costly. Because the families bear theall aspects of care may be extensive emotional and financial consequences of the birth of an extremely preterm infant, it is essential to inform the prospective parents regarding the expectations for infant survival and outcome and the risks and benefits of various approaches to care.
Click to expand...

I know this one 10 year old girl who was born very very premature..she has severe brain damage and will never learn how to read and write. She will always need supervision and care but she understands enough to communicate and she has expressed that she wishes she could do half of the things her peers can do.
 
jillio said:
Yeppers. Even religions debate the point of quickening. Many believe it is at the time of birth as the physical bodies become separate.
Click to expand...

naisho said:
quick·en (kwĭk'ən) Pronunciation Key
v. quick·ened, quick·en·ing, quick·ens

v. tr.

1. To make more rapid; accelerate.
2. To make alive; vitalize.
3. To excite and stimulate; stir: Such stories quicken the imagination.
4. To make steeper.

v. intr.

1. To become more rapid. See Synonyms at speed.
2. To come or return to life: "And the weak spirit quickens" (T.S. Eliot).
3. To reach the stage of pregnancy when the fetus can be felt to move.
Click to expand...


Dutch said:
But an infant can?
Click to expand...


Read the above Dutch. "Quickening" which is also debatable for another thread... :)
 
It's always the negative things of things that come out of anything. People just want to point out flaws over positives. I don't know why, it's stupid, but its also just human nature really.

Why can't anyone focus on the good things of abortion? Have they all got to be bad just because a few things have shown so?
 
naisho said:
It's always the negative things of things that come out of anything. People just want to point out flaws over positives. I don't know why, it's stupid, but its also just human nature really.

Why can't anyone focus on the good things of abortion? Have they all got to be bad just because a few things have shown so?
Click to expand...

I agree with you...
 
shel90 said:
I know this one 10 year old girl who was born very very premature..she has severe brain damage and will never learn how to read and write. She will always need supervision and care but she understands enough to communicate and she has expressed that she wishes she could do half of the things her peers can do.
Click to expand...

And, I'm sure she was born well after 22 weeks. It is not just the prematurity that is an issue, but the very treatment that keeps oxygen pumping through their system and prevents opportunistic infection can cause severe brain damage, blindness, and all sorts of complications. Trying to save an unviable fetus is actually what often causes the brain damage.
 
jillio said:
And, I'm sure she was born well after 22 weeks. It is not just the prematurity that is an issue, but the very treatment that keeps oxygen pumping through their system and prevents opportunistic infection can cause severe brain damage, blindness, and all sorts of complications. Trying to save an unviable fetus is actually what often causes the brain damage.
Click to expand...

She was part of a Quad...
 
naisho said:
It's always the negative things of things that come out of anything. People just want to point out flaws over positives. I don't know why, it's stupid, but its also just human nature really.

Why can't anyone focus on the good things of abortion? Have they all got to be bad just because a few things have shown so?
Click to expand...

If one thinks abortion is wrong, even murder..there is nothing good about it. Even many pro-choicers say there's nothing good about abortion, but they think it should remain legal.

Why not say- why can't anyone focus on the good things of allowing a baby to come into this world?

It is not an operation where a cancer is being taken out. It's a developing human being.
 
Fetal and placental viability is most often assessed in the third trimester, when the rapidly-growing fetus places greatest demands on the placenta. These tests are particularly useful in high risk pregnancies (maternal diabetes, hypertension, and other disorders including substance abuse) and in the evaluation of intrauterine growth retardation. The most common assessment for fetal viability is the correlation between fetal heart rate and fetal movement (the nonstress test). In cases where more information is needed, measurement of estriol and/or placental lactogen in maternal serum, particularly in serial specimens, can be used to monitor fetal status.
Estriol
Estriol is produced by the placenta from precursors that are synthesized in the fetal adrenal and liver. Thus estriol synthesis reflects the metabolic status of both the fetus and the placenta. Free estriol in the maternal circulation is conjugated (e.g., with glucuronide) in the maternal liver, released back into the bloodstream and excreted in the urine. Although total estriol, other serum estrogens and urine estrogens have been evaluated as indicators of fetal status, unconjugated serum estriol is considered to be the most accurate measure because it is completely a product of the fetus and placenta.


DHEA-S: Dehydroxyepiandrosterone Sulfate
Serum estriol levels steadily increase throughout pregnancy. A leveling-off of this increase, or a sustained drop in serum estriol levels indicates impending fetal demise.

Placental lactogen (hPL)
hPL is produced only by the placenta and levels generally correlate with placental weight. Levels normally rise over the first two trimesters and flatten out a bit in the third. hPL is used as a measure of placental funtion in the third trimester and in post-dates pregnancies (pregancies that are past term); its short half-life (about 30 min) means that it can provide a rapid assessment of the status of the placenta. hPL levels vary to a degree over a day, however, and therefore a comparison of serial specimens for a sustained trend gives the most accurate results. Declining values indicate fetal jeopardy. Low hPL with high hCG suggests trophoblastic (molar) disease.

Fetal/Placental Viability
 
The ability of a fetus to survive outside of the womb. Historically, a fetus was considered to be capable of living at the end of gestational week 20 when the mother had felt fetal movement (quickening) and the fetal heart tones could be auscultated with a fetoscope. In actuality, even with prompt and intensive neonatal support, a preterm fetus of less than 25 weeks' gestation has little chance of surviving outside of the womb.SEE: viable

Taber's Medical Dictionary : fetal viability definition
 
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