Wow! What A Response From The Gals At www.Dakotawomen.blogspot.com Ned Flanders Came To Their Rescue To Enlighten Them To "Modern Medical Procedures For Twin To Twin Transfusion Syndrome" Which They Didn't Know Anything About. Although Ned Only Points Out One Modern Medical Procedure From The Texas Children's Hospital Fetal Care Center, You Can Read The Others!
www.texaschildrens.org/carecenters/FetalSurgery/twin_twin_transfusion_syndrome.aspx#selectivecord
Ned Does Point Out "Selective Cord Coagulation" "In some cases, a couple may make the difficult decision to proceed with the purposeful loss of one twin to save the other twin. This procedure is used when laser ablation of the connecting vessels is not possible or if one of the twins is so close to death that laser ablation would likely not be successful. By stopping the flow in the cord of the dying twin, the other twin can be protected from the consequences of its sibling’s death." Ladies, This Of Course, Is An Extremely Rare Situation Which Occurs In 1 in a very remote number. The Good News Is That Initiative 11 Would NOT Prevent The Procedure, "Selective Cord Coagulation" From Taking Place. Please Also Remember That a "YES" On Initiative 11 Would Save The Lives Of Hundreds Of Healthy, Unborn Babies Who Are Perfectly Normal In The Womb Until An Abortion Is Recklessly Performed On That Healthy Baby!
Subscribe to:
Post Comments (Atom)
1 comment:
Where specifically in measure 11 does it allow for this type of procedure (i.e., a procedure performed with the intent of causing the termination of the life of an unborn human being). This is an abortion as defined by Section 2 of measure 11. Section 12 provides no relief in this situation as it relates specifically to Sections 3 & 4 (life & health of the mother)
The prevalence of TTTS and other fetal anomalies may seem statistically insignificant to you; however, to the families impacted this is very significant. Do you really have the right to anoint someone else’s child as the martyr for your cause? Which one of your children would you be willing to give up for your cause?
In reality this and similar situations aren't as rare as one might think.
http://www.fetalhope.org/
Fetal distress and syndromes affect 800,000 pregnancies per year in the US alone. This is four times the amount of cases per year as breast cancer. We lose more than 200 babies a day to fetal distresses and syndromes. Upon diagnosis families often struggle with not knowing or knowing little about their diagnosis, they feel alone in their search for information, help and support. You are not alone, we are here for you.
Aligned with some of the world’s leading fetal medicine centers, Fetal Hope has been organized to provide accurate and factual information for families dealing with syndromes and distresses such as Twin-to-Twin Transfusion Syndrome (TTTS), Acardiac Twinning (TRAP sequence), Amniotic Band Syndrome (ABS), Intrauterine Growth Restriction (IUGR), Selective Intrauternine Growth Restriction (SIUGR), Fetal Lower Urinary Tract Obstruction (LUTO) and many other fetal distresses and syndromes. Our organization is about HOPE. No family should ever be left without HOPE.
Hundreds of thousands of pregnancies are affected each year, but many go undiagnosed and/or untreated. With more than 200 babies lost every day, some may have been saved with proper diagnosis and treatment. If you or a family member are in need of support or looking for additional resources please contact the Fetal Hope Foundation at 1-877-789-HOPE or via email at info@fetalhope.org.
All five of the major fetal care centers in the US all mention “selective termination” as the best treatment for TTTS in some cases.
Texas Children’s Fetal Care Center
http://www.texaschildrens.org/carecenters/fetalsurgery/default.aspx
Selective cord coagulation
In some cases, a couple may make the difficult decision to proceed with the purposeful loss of one twin to save the other twin. This procedure is used when laser ablation of the connecting vessels is not possible or if one of the twins is so close to death that laser ablation would likely not be successful. By stopping the flow in the cord of the dying twin, the other twin can be protected from the consequences of its sibling’s death. The procedure is performed through the use of a special forceps that is placed into the amniotic sac of the recipient twin while watching with ultrasound. The umbilical cord is then grasped and electrical current is applied to burn (coagulate) the blood vessels in the cord so that the blood flow will stop to this fetus. The communication between the fetuses is definitively ended; however, this eliminates the chance of survival for one of the twins. Complications of this procedure include premature delivery and premature rupture of the membranes. Rupture of the membranes has been reported to occur in about 20 percent of cases. Survival of the one remaining fetus can be expected in 85 percent of cases.
Fetal Care Center of Cincinnatti
http://www.fetalcarecenter.org/fetal-surgery/ttts/default.htm
Fetoscopic Cord Coagulation
In such cases, due to unequal sharing between the donor and recipient, the selective fetoscopic laser procedure may result in death of the donor twin from acute placental insufficiency within hours of the procedure and a recipient twin that dies from progressive Twin-Twin Transfusion Syndrome cardiomyopathy. In this situation, fetoscopic cord coagulation may be the best option available.
Cord coagulation preserves the vascular communications between the donor twin and the placenta in the recipient twin's domain. In 16 of 17 such cases we have observed rebound fetal growth, restoration of amniotic fluid volume, and delivery of neurologically intact donor twin at a mean gestational age of 34 weeks.
UCSF Fetal Care Center
Fetal Treatment: Radio-Frequency Ablation (RFA)
The other option, if the acardiac twin is large enough and we are worried about the amount of blood flow to it causing heart failure in the healthy twin is to stop the blood flow with Fetal Image-Guided Surgery (FIGS-IT). We currently do this using a thin needle, which we guide into the place where the blood vessels feed into the acardiac twin, using ultrasound. Once in place this instrument called an RFA (radio-frequency ablation) device produces a very high local heat, to burn the tissue and destroy the blood vessels to stop the blood flow. The needle is so thin that no incision is necessary and the pain and recovery are similar to an amniocentesis. We were the Center to pioneer this treatment and have had great success with it.
Children’s Hospital of Philadelphia
http://www.chop.edu/consumer/jsp/division/service.jsp?id=27703
Selective Termination – Case Study
At the time of her evaluation for twin-twin transfusion with us, the recipient twin was found to have severe biventricular cardiac dysfunction, with moderate to severe leakage (regurgitation) across both mitral and tricuspid valves, severe pulmonic insufficiency with no forward flow across the pulmonary valve and reverse flow seen within the pulmonary artery. There was a reversal of end-diastolic blood flow seen in the ductus venosus and umbilical artery and pulsatile flow seen in the umbilical vein. These findings in the recipient twin were characteristic of severe hypertrophic cardiomyopathy that occurs with Twin-Twin Transfusion Syndrome. Fetuses with this combination of findings generally die of heart failure within seven to 10 days. Cardiac findings in the donor twin were normal.
Given that intrauterine death of one fetus in monochorionic twin pregnancies is associated with a 50-percent loss of the other twin, or a 40 to 60 percent incidence of significant neurologic injury if the other twin survives the death of its co-twin, the risks to the donor twin in this case for death or neurologic injury were high.
Children’s Hospital Boston
http://www.childrenshospital.org/az/Site1795/mainpageS1795P0.html
Umbilical cord ligation (tying of the umbilical cord) is performed endoscopically (through a small puncture in the mother's abdomen) when one twin is severely compromised with impending death. If one twin dies the other is at high risk for neurological damage caused by a severe drop in blood pressure. The procedure should offset the drop in blood pressure and prevent other continued symptoms in the surviving twin.
Post a Comment