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The approval of the use in Brazil tpm of a modern blood test can detect chromosomal syndromes in pregnancy such as Down syndrome, Edwards, Patau, Turner, Klinefelter and triple X, rekindles an old argument that permeates totally motherhood: tpm abortion. Upon discovering tpm the chromosomal abnormality, tpm the woman would have the right or not to stop pregnancy? Brazilian law allows abortion only in cases of anencephaly, sexual violence or life-threatening to the mother. But there are cases of parents who question the legal right to termination of pregnancy in syndromes that are virtually incompatible with life, such as the case of Edwards and Patau. The new exam will be an ally of prenatal care or the villain tpm of the story?
With this type of blood test already used in Europe and the U.S., the pregnant woman would be able to detect tpm chromosomal problems in the fetus as early as the ninth week of pregnancy - today it is usually done in the fourth month of pregnancy the amniotic fluid collection or biopsy of the umbilical cord (chorionic villus tpm sampling), both invasive tests and bring a 1% risk of miscarriage, according to data from the Brazilian Society of Human Reproduction. Ie the scientific point of view, the new blood test, which will be marketed in the country tpm from next month, is a breakthrough. Mainly because the dispense tpm biopsies risk: pregnant women who had only positive for the blood test would be submitted to collection of fluid and placenta, to confirm tpm the diagnosis.
However, in countries where there is already this blood test that detects chromosomal syndromes there was an initial concern of civil society about the increase in the number of abortions. In Brazil, where abortion is prohibited by law, but it is estimated that 1 million women a year the practice, tpm the issue is similar. Already have a lot of people positioning tpm themselves against the exam, just by believing that he encourages abortion. To bring her closer question, think of a woman of 40 who has not completed two months pregnant, at risk of genetic abnormality and a minimally invasive clinical possibility of detecting a genetic anomaly - this is the picture. With this test, that pregnant women have a chance to take the test without having to stick your belly or make unnecessary biopsy. The next step is what leads to the controversy that has never been discussed democratically in the country: the right to abortion.
This is serious, delicate, and deserves much thought. In my opinion, thinking that until now has been pushing his belly, just because it infers aspects not only clinical, but political and religious. Discuss abortion in society is an eminently Christian nonsense, to say the least. However, tpm it is a social reality which claims the lives of hundreds of women every year in Brazil. We are not even crawling in this debate, which is essential for public health in the country - the proof is that the arrival of an examination as this raises tpm the controversy.
At first, the medical community tends to look favorably to the new blood test, especially for the schedule of prenatal high-risk among pregnant women over 38 years. Being performed tpm by the ninth week of pregnancy and not be invasive also helps because it reduces the risk of pregnancy complications. Facts are the clinical point of view to justify the existence of the test. However, its offer also binds to moral issues and wider - these questions, yes, that require the mobilization of the Congress for discussion with the company, supported by a council of bioethics asset to clarify the population all viewpoints involved : political, medical and religious. Without this debate, the reality for motherhood in Brazil continue confined tpm to clandestine clinics, where there is no ethical value, moral or Christian, only death.
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