Showing posts with label screening. Show all posts
Showing posts with label screening. Show all posts

BBC1 Documentary with Sally Phillips Examines Down's Syndrome Screening

We are proud to have played a small part in this forthcoming important programme.

BBC One announce documentary examining Down’s Syndrome screening

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 BY Lisa McGarry
sally_phillips-6234SMALLRES
Flashmob celebrations in London with Sally Phillips
Dragonfly has been commissioned by BBC One to produce a one-hour documentary that explores the impact of a new screening test that is said to detect Down’s Syndrome in 99% of pregnancies.

The Embargo Lifts on the New Antenatal Screening Press Release

As I sit here in my dimly lit office this evening, it's more than my toes that feel a certain chill.


We must work towards unbiased support during NIPT


I've received a roundabout press release from the UK Screening Committee with recommendations for the implementation for the staged rolling out of the Non-Invasive Prenatal Tests, or #NIPT. I'm loading it into this blog, right here 2 hours ahead of that watershed.

It's embargoed of course, but I can set the timer just over here on the right of the screen =>  to bring this blogpost into your inbox minutes after that embargo lifts at midnight.

Such secrecy. Such planned drip-feeding of information to the public. So much goes on behind closed doors.

Of course we knew this was coming. Of course we knew the test would be rolled out as standard, albeit in phases. The press release is not a shock. 

Yet still I shed a tear when I read it. It says nothing, it's wishy washy, but it is symbolic. It's not even about the test. It's what surrounds it.

I fathomed that it is because I know that however late I go to bed tonight, however tired I am when I wake and however busy the school morning begins, and however hard I try not to turn on a radio or look at my social media feeds, at some point after I wake I will see a jubilous headline somewhere. 

Someone will send me a link. Or a retweet. Or mention it to me at the school gates.

It will claim:


'Miracle new test will cut miscarriage rates'
'Safer, earlier test detects chromosomal abnormalities'. 'NHS to roll out new test to women at risk'
'Disability activists have concerns.' 
'Detect this debilitating disease' (Telegraph Jan '16)

or similar.

And I will spend the day justifying my daughter's life.

And explaining that as miscarriages lower, terminations will increase. 
I will see the public misunderstand that the test is not diagnostic, it will be glossed over that it does not give a definitive answer, and an invasive procedure is still needed to confirm a diagnosis.
Language and terminology will make me shudder. My daughter was not a 'risk', and neither was she 'abnormal' in any way. She is what she was meant to be. Down's syndrome has been around since the beginning of time. 
And militant activists we are not - rather parents with heart, those who know, the true experts, wanting the best for all and willing to share and educate and support, whatever the decision others take. 

My head knows we are inching forward with key medical professionals to provide training to enable them to give truly unbiased support. Working together is vital.
My head knows the learning disability nursing teams are on standby to help new parents. 
My head is proud that the debate surrounding the ethics of a screening programme designed to target one particular genetic group is in the public domain now, that questions are being asked.
I know medical professionals are realising that parents must be given more time to reach a decision, that they cannot be coerced or bullied, and that they should not be repeatedly offered a termination until the 40th week of their pregnancy once if they make a decision to continue.

Change is happening.

But still I sit here with a heavy heart waiting for those hurtful headlines and the terminology that will sting. I think of countless other families, more importantly those reading and listening who have Down's syndrome themselves, who will smart at the celebrations they see.  

Tomorrow (or today as you read this) this will explode on our screens. And I weep for the much wanted babies lost, each one of them who would bring as much unique wonderment to the world and their families as Natty does to ours. I weep for women put through additional stress with little counselling at every step of the process. 

So let's continue to educate and be the change we wish to see in the world, however hard that may seem. Let us share honestly the joys and challenges of bringing up a child with Down's syndrome to allow others to make truly informed decisions. 

Let us respect the different paths and decisions of all women. Let's continue to educate the medical profession and the journalists to help them update their knowledge of Down's syndrome.


____________________________

  • Watch out for a BBC1 documentary coming soon, hosted by Sally Phillips, exploring the way NIPT is being implemented. We have played a small part in the making of this important programme. 





  • You can read an honest and touching post from a woman who understands all angles of the screening process here. Mother Scuffer writes Antenatal Screening on her blog Motherhood Journeys.






  • I was live on LBC again this morning talking to Nick Ferrari on the subject.




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The press release from the UK Screening Committee:

Introducing Non-Invasive Prenatal Testing (NIPT)The committee recommended that Non-Invasive Prenatal Testing (NIPT) be introduced as an additional test into the NHS Fetal Anomaly Screening Programme (FASP) as part of an evaluation. Ongoing monitoring and evaluation will mean that the test is rolled out across England in such a way that the screening programme can be altered if necessary in light of any real life findings.  FASP offers screening to women in pregnancy to find out how likely it is that their baby has Down’s syndrome, Edwards’ syndrome, or Patau’s syndrome. The new test is more accurate, meaning that fewer women will need unnecessary diagnostic tests, which can potentially mean a small risk of losing their baby.



You can vote for Downs Side Up in the
Health and Social Care section here






NIPTs: Human rights, ethical questions and a call for unbiased support

This morning I arose at 5.30, bleary eyed from late night research and failed first drafts of this post. The words were not flowing.

The rest of the household woke, and the bustle began, but one person noticed my pensiveness. Natty drew me down to her face level, looked intuitively deep into my soul and said ‘It’s OK Mummy.’
 
Are we giving the right support and having the right ethical discussions as we roll out NIPTs

Dear Mum-to-be, Let's Talk About Down's Syndrome

There is a lot of media discussion currently surrounding the new antenatal NIPT test. All we ask for is truly unbiased advice to allow parents to make informed decisions about the test and the results. One journalist asked me what advice I would give a pregnant Mum about screening and Down's syndrome. I pondered for a couple of days, then wrote this letter.


Dear Mum-to-be, Let's Talk about Down's Syndrome






Dear Mum-to-be, let's talk about Down's syndrome 

I once stood in your shoes.

Pregnant with a much-wanted baby, and wanting the very best for him or her.  
"We don't mind what sex we're having, as long as they are healthy," we all say, without too much thought about the foundations that phrase is built on. 
You take your supplements and you stay away from alcohol and cigarette smoke. You rest as much as you can. You mull over every detail of the birth plan. And in your mind's eye your newborn baby is sketched; beautiful and bouncing and perfect in every way. They complete your family unit, they bring everyone together. You know you will laugh and cry, worry and burst with pride. You know you will be exhausted, but that they will make you a better person, and it will all be worth it.

But there is one phrase that makes you uneasy, a phrase that was mentioned when you booked in with your midwife, that is written in every pregnancy book that adorns your shelves, and it's currently splashed across every media outlet in the land - Down's syndrome
You don't know much about Down's syndrome. You may never have met anyone with the condition. But you think you know enough, just as I did. It won't happen to your baby of course, but you'd like 'peace of mind anyway'. And now there's a new test...

National News Interviews on Testing and Down's Syndrome


Relaxing with our Girls

"Right girls, lets make some popcorn and go and sit on the sofa and cuddle up." 
It was time to watch Pets with the Xtra Factor Strictly Do the Most Talented Things Whilst Coming to Dine with Me or whatever it is that's on on a Saturday evening these days. Daddy Downs Side Up was away, and we had a girlie evening planned.

We'd been in our pyjamas for the last hour and had just taken our lovingly made meringue for the Big Lunch out of the oven ready for the next day. I was washing the last of the dishes and had poured a glass of something cold, crisp and white in readiness for full relax mode.


An ordinary Saturday turned into a media day in minutes

The phone rang. Thinking it was Daddy, Mia answered it with an excited "Hiya!" Silence while someone spoke on the other end of the line. 

Are Women Given Enough Support at Antenatal Screening Tests

Do women really have a choice whether to abort or not following an antenatal diagnosis of a disability?

Are we walking blindfold into a society where eugenics is gently-presented, sugar-coated and unthinkingly accepted? 

Are we fooling ourselves that we are exercising choice in our pregnancies, where actually choice, the choice to continue with certain pregnancies is being removed?

This week a new 'safer, earlier and 99% accurate' blood test was unveiled by Great Ormond Street Hospital. I can detect Down's syndrome along with other chromosomal conditions. I've been asked countless times by the media to quote my thoughts about the test. What concerns me most is how the test is implemented.

Are women given unbiased support to make informed choices at point of diagnosis?
It’s easy to assume that the moral dilemma of whether to abort your unborn baby that you’ve learned has a disability, is confined to a shouty debate between pro-choicers on the right to end a pregnancy at any stage, for any reason, and equally vociferous pro-lifers camped outside abortion clinics with their gory billboard campaigns, designed to shock and scare.


Dear Past Generation Mom: who wished she had aborted her son with Down's syndrome

The following was written after an article that appeared in the Daily Mail this week that came with the designed to shock-and-divide headline 'I Wish I'd Aborted the Son I've Spent 47 Years Caring For'.

Rather than lashing out at the mother speaking in the piece, I felt I needed rather to consider the times her son was born in,  her state of mind, and instead question the journalism at work which contained no regard for the voice of the man at the centre of the article which was clearly advising abortion.

Families in the 60s had a much tougher battle than we do today, and many many mums and dads and siblings were, and still are, incredible pioneers. I think this woman's opinions, which were later aired on Loose Women, are thankfully rare.

The following is written to a woman like the one the article portrayed, one who became bitter through lack of support. 

She is in no way like any of the parents of that generation that I am blessed to have met and follow in the footsteps of. Parents, and siblings I count as guides and support, such as Mardra Sikora, Sue Bessell and Elizabeth Corcoran.

Kristian Naylor writes about his Uncle Martin

Dear past generation Mum, 
(who wished she had aborted her son with Down's syndrome),

I note with respect the hurdles you have faced. 

A Word to Midwives on Antenatal Screening Programmes in Journal







Screen test - antenatal screening for Down's syndrome

by Hayley Goleniowska, author of Downs Side Up


This week my article for Midwives journal is published: Issue 4 :: 2014 

It needed to be cut, there was much more to say, but a word count prevailed, still an article on this topic in a medical journal for Midwives is a massive step forward. Emails from midwives have already begun to arrive. There is so much amazing practice around, but also so many sorry tales of lack of support at the time of screening.


Before Natalia was born, I unquestioningly believed, as do most prospective parents, that the recommended antenatal tests were for our peace of mind. I naively spouted that we didn’t mind what the sex of the baby was, 'as long as it was healthy'. I refused amniocentesis after an inconclusive nuchal fold scan, because of the 'risk of miscarriage to a healthy baby'.


Looking back at that previous version of myself fills me with shame because of my deep-rooted belief that a baby with a disability is somehow worth less than a healthy one. But I also see that my prejudice and fear of Down’s syndrome was a product of the way society, and some within the medical profession, view the condition.

Welcome to the World Precious Baby Porter


I came across the wonderful Porter family on Twitter a couple of weeks before their second daughter Kara was born. Kara has Down syndrome and her parents were prepared for this before she arrived in their world. I was immediately struck by the calm excitement, love and pride that already emanated from her parents before her arrival. I thought back to our shaky beginnings with Natty in our lives, a sharp contrast to their experience and I felt nothing but admiration and respect for these wonderful new parents. They had felt and overcome their shock and grief antenatally and were ready to welcome this beautiful daughter with open arms, one of the 6% of babies with Down syndrome who are not terminated or miscarried during pregnancy. 

I waited anxiously for new tweets after the news that labour had begun, I held them in my thoughts, conscious of the flagged heart and digestive problems. I was overjoyed to see the first new pictures of the beautiful and perfect little bundle when she made her debut appearance. Many of you joined in sending your congratulations. Kara is doing brilliantly, feeding and home safe and sound where she is getting to know her older sister Eloise. I am delighted that Craig and Sara have kindly agreed to write and share their story with Downs Side Up readers, despite that early baby haze of exhaustion that we all find ourselves in.

H x







Wow no wires!

"I am currently covered in bits of food, trying to organise my living room despite toys, books and a changing mat. I am tired after broken sleep and cluster feeding a new born baby. This is the typical scene any parent can recognise - those first few weeks always seem to last forever. Kara is sleeping in her moses basket and Eloise my eldest is settling down to bed. We should not be here - it should not be like this.

Kara is a baby with Downs  - one of the 750 children born each year and one of the very few that are not terminated from the result from the Nuchal scan at thirteen weeks. We also had an amniocentesis. 

There is a passage in Wolf Hall from which describes how Cromwell feels when the ceiling crashes in - that is the nearest reaction I can give when you hear the results. I remember the shock, the question - Why? I was 37 but not that old, I did not smoke and was fairly healthy. What did this mean ? How could I have a disabled child ? What about my eldest child ? What about my life? The fetal medicine team were amazing - they explained all my options. I could not think - it was like a cloud of grief. We elected to have scans - and to research this to the nth degree. 

I called people who had children who had T21 , scoured the internet trying to assess what this  meant. I asked advice of friends, relatives, experts. The Downs Syndrome Association hand out huge packs of information at the hospital. I read, examined and weighed up all the options. A couple of things made me think - my Granny just turned round and said " The child will never lack friends" and a very close friend stated it very clearly "Its going to look a bit different and it will learn at a slower pace".  I just felt that this child had a right to life and from the scans it looked like a baby.


Its not been plain sailing - heart defects were detected and so were digestive issues. We were prepared to have child in neonatal with tubes sticking out at all angles. But it was not like that. The birth was quick and normal - (it hurts). Straight away Kara breast fed. She sleeps well and hates to be cold. She cries less than other babies so you have to read her but she is feeding so well. Her heart defects had healed, there was no digestive problems and she is hearing like any normal baby. So as I explained at the beginning we really should not be here and I am going to grab five minutes to have a lovely long bath."

Sara Porter










Top tips for speaking live on BBC: toilet roll, rescue remedy and your husband's pants.

Yesterday saw my first live national BBC TV interview on an emotive subject via Skype, as I contributed to a discussion on disability abortion law and screening for Down's Syndrome on Sunday Morning Live hosted by Samira Ahmed.


Nervous doesn't come close. Honoured and proud, determined to make every word count, yet scared of who would be on the panel and the questions they might ask, yes. But more a faint shade of petrified I would say. 

And live. Did I mention it was live? Oh, and did I also mention I have a deep-rooted loathing of Skype (other similary offputting online video conferencing applications are available). I like to see the non-verbal cues going on in a room when I speak to people. Oh, and no-one looks at their perkiest no matter how much slap you apply do they?

So here are my top tips for surviving such a live online interview:


Don't run out of rescue remedy 24 hours before.

Prepare thoroughly even if it means staying awake most of 2 nights.

Don't over-prepare, it won't seem natural.

Get a good night's sleep the night before.

Apply even more blusher than your children do when giving you a make-over on a rainy Sunday afternoon.

Try to tame locks you didn't have time to straighten with some hair oil.

Don't apply too much hair oil or you may look like you need to be appearing on Aggie's Grimey Hoarders or similar.

Cellotape key notes to your laptop screen but not actually OVER the camera hole.

Get all your points in, starting with the most important first. 

Don't try to force all your points in like shoe-horning your swollen summer foot into a 
dainty court shoe one size too small.

Bring earphone cable to ears from behind your head to give a more professional air.

Check the sound levels aren't too high BEFORE inserting earphones and pushing them home.

Don't swear at the headphones while the researcher giggles at your efforts to remove the aforementioned objects and bring hearing levels back to normal by waggling fingers in your ears.
Very unprofessional regardless of how cable is hidden.

Stock up on toilet paper, for extreme nerves do have a very curiously unpleasant effect.

Realise that 2 minutes before you go live is not the time to need to visit the loo again.

Don't listen to friends who tell you to wear your husband's pants on the bottom half just to lighten the mood.

If your extremities begain to go numb and you feel faint, drink water, run round the garden and force down a rich tea finger. 
But not if it's 2 minutes before you go live.

2 minutes before you go live is also the wrong time to 
a) re-write your thoughts 
b) run for the hills 
c) remember to take the phone off the hook, 
switch mobile off, silence the dog with a chew.

When you've actually finished speaking, be aware they will have your face on screen about 8 feet high. The world will be able to see you sigh, slump in your chair and pick your nose. (No, of course I didn't!)

Remember to record the correct programme and not miss the first half off somehow.

Don't shout at your other half if he manages 
not to record the show.

Don't watch yourself back on iPlayer, you will be your harshest critic and spend another night wishing you had done it all differently.


At least I know for next time :)



You can watch the episode here for 6 more days. The abortion debate begins at around 20 minutes into the programme.



Opinions are like, ummm, bottom holes

When I imagine the worst possible sub-species of opinionated troll, I simply have to cast my mind's eye back 20 years to my ex Mother in Law. 


She was the personification of everything I am not. A domineering parent. A woman who always felt compelled to unthinkingly voice the strongest of opinions on every subject imaginable, with little forethought, background knowledge or consideration for others. One who played her family like puppets. 

As a young 20 something I listened to the homophobic, racist drivel, cringed inside and distanced myself from her and ultimately the son she had irrevocably damaged. Today, I would have countered her bigotry with something a little more challenging.

And so, it was with this type of minority reader in mind that we set up an interview in the Mail on Sunday for an article designed to question the increasingly accurate and routine use of screening for Down's Syndrome in unborn babies. They were in fact the only newspaper to run a story that didn't simply hail the arrival of the new test as a miracle. (For more background information on this subject read DS Screening: A Few Cautionary Thoughts.) It is a controversial subject, so we were prepared.

But we trust the freelance journalist Alison who we've worked with on Natty's modeling stories. We understood she would present both sides of thinking about the test. I think the main aim was to make parents realise that the test is not compulsory and will only bring anxiety with it. That termination is not the only option, that life with a child with DS is a real and wonderful path to take.

I think the article did achieve this. The headline was questioning, inviting a rethink, Natty's beaming face shining out from the page. The enduring image of the piece.

Of course you can nit pick over semantics, and we parents  might have written the article differently, but it was the Trojan horse inside which we got our concerns into the heads of the more unquestioning Readers.

And if just one of them steps back and has a rethink, then we have reached our goal. I believe in choice and want support for all women whatever their decisions, but we need to stop and think about what and why we are testing.

Many comments that accompanied the online article, which you can read here were unpleasant, friends have told me. We didn't look. We didn't read. The trolls were out in force. But  then we knew they would be. 

So to the ex MIL I thank you for teaching me how to ignore the opinions of those who don't warrant my attention. A valuable lesson in life indeed.

And a final thought. In all matters such as this, we must remember the wise words of Daddy Downs Side Up:

"Everyone is entitled to his or her opinion. 
However opinions are like, well, ummm, bottom holes. 
(My clean version for the blog)
Everyone has one, but some of them really stink."



For more thoughts on dealing with hurtful comments, read Outshining the Bigots.

You might also like to read the evidence I gave in the Parliamentary Inquiry into Disability Abortion Law.

Evidence in Parliamentary Disability Abortion Law Inquiry

As many of you know I was asked to give evidence in a Parliamentary Inquiry into the current Disability Abortion Law in this country.



With exactly a week’s notice I was given the important honour of being asked to speak in a multi party Parliamentary Inquirty into Abortion on the Grounds of Disability that would try to:


  •      Establish and assess the intention behind the law governing abortion on the grounds of   disability.
  •     Establish how the law works in practice and is interpreted by medical practitioners.
  •      Determine the impact of the current law on disabled people and assess the groups representing their interests.
  •      Assess the effectiveness of the information and guidance provided to families following the diagnosis of a disability and the impact that has on outcomes.
  •      Examine how the law, guidance and support for practitioners and families can be developed going forward.

Very well aware that this is a highly emotive subject, I accepted and began my research. I didn’t sleep before about 3 am on several consecutive nights, reading around the law, which limits abortions to 24 weeks except in the case of Ground E abortions for babies ‘at high risk’ of ‘severe handicap’ (not defined), for whom a termination is possible ‘up to and including during birth’, and believe me, you do not want to know details of what that entails.

I found and absorbed, tried to understand and respect if possible, every conceiveable opinion from considering contraception as murder to believing in a woman’s right to choose to terminate at any stage of pregnancy and for any reason, including the baby’s sex.

I found many important ethical questions raised, such as how this difference in law constitutes disability inequality, how it must make people with disabilities feel about how they are valued in society, or how pregnant women of babies with disabilities are being singled out for a much less supportive service than those carrying a healthy baby. Even how the notion of ‘choice’ that is often used with the decision to terminate is often not so much a choice, because that is being offered as the only option and therefore parents are often not ‘choosing’, but being coerced, persuaded to go down that route which they see as the only one available.

Those whose opinions sit at either end of the scale seem to be the ones who shout the loudest and get the most media attention. This cemented my resolve to voice the experiences and thoughts of the quieter many who sit somewhere in between. My nerves grew more and more frazzled. I live in the quiet of the countryside, London is a 5 hour journey away, I’ve never even visited the Houses of Parliament as a tourist, let alone spoke on such a hot topic there.

I found out that I would have about 5 minutes to speak, that’s not a lot of time at all. So, I set about writing a piece that could contain as many real anecdotes from other families’ experiences of testing, diagnosis and support as possible, that would shout about how gloriously wonderful our children are, that would express our concerns that our children are being misunderstood and feared.

I set out on Monday morning, my speech in triplicate in different areas of my luggage in case I lost one. I printed a collage of photos of Natalia enjoying everyday activities, to hand out to the 14 MPs who might be present. After all, a picture speaks a thousand words.

The photo I handed out to the MPs, showing Natty from birth, through heart surgery and enjoying a full life.

I arrived monstrously early to clear security at Westminster, and sat down for an informative chat in the coffee shop with Sue Buckley, Head Scientist at Downs Ed.
Sadly Dr Liz Elliot was taken ill and couldn’t attend. I was yet to meet Lucy McLynn, Mum of Daniel who is Natty’s age, and an equality lawyer who would also be giving evidence, along with representatives from the Cleft Lip and Palate support group (CLAPA), Beezy Marsh, a freelance journalist with a history of research into abortion statistics and DR Kevin Fitzpatrick OBE who was to turn out to be one of the most inspirational speakers I have heard in a long time.

London was freezing, snow was in the air, the Houses of Parliament are very old and not very well heated. I had swapped my country wellies and fleeces for a serious dress and heels. That and my nerves conspired to make me shake, well, not nerves exactly, but my extreme keeness to get my point across in the little time I had.

My time came. This is approximately what I said to Fiona Bruce MP, Virendra Sharma MP, Baroness Hollins of Wimbledon, Baroness Benjamin of Buckingham, Rob Flello MP and their team, including members of the public who were present. The stenographer wrote down the exact words and the transcript will be online at www.abortionanddisability.org in just over a week. Last week’s evidence will be online in a few days. Two more sessions will follow next month including evidence from a woman with Down's Syndrome.




I believe that I typified the completely ‘average’ prospective parent before Natalia was born.  My opinions on abortion were not extreme, one way or another. I understand the need for women to have a choice, but I also have a strong sense of humanity.

I know that I speak with honesty for masses of families with loved ones with DS now. I have woven their shared stories into what follows.

When pregnant, I bandied about the universally used soundbite we all say without thinking;
 "I don’t mind what the sex is, just as long as it’s healthy…"
 (and what if it wasn’t? What is the dangerous unspoken subtext there?)

I have always been respectful of those with disabilities, but did not think it would ever affect our lives personally. Nobody does.
I call this the blissfully ignorant, arrogantly complacent time of our lives. The time before we broke through the glass ceiling, and understood what life was really all about.  The time we protected ourselves with a naiive sense of security that a healthy, clean living, woman like me would, of course, be expecting another healthy baby and that that was all that mattered. That is was the only goal in life. I think differently now of course.

I hate to think what might have happened had we known Natalia had Downs Syndrome, had we not feared the risk of the invasive tests after several miscarriages, had our midwife not wisely said it wasn’t important to know.

What if we had opted for the new early blood test, you know, "or peace of mind"? (Screens only give you peace of mind if you hear what you want to hear don’t they.)

I might have panicked, swept away on the tragic language of doctors;
the "risk of our baby having DS", their "concerns".
Being told that she had "tested positive", the ways in which she would "suffer from" the Syndrome.
I might have wanted that "afflicted" baby out of me as soon as possible, worried about the life she would struggle through, the pain she would feel, fuelled by my own fear and ignorance.  

If the medical professionals we trusted implicitly simply gave us two leaflets at point of diagnosis, one on CVS, the other Termination, and warned us gently and sympathetically not to approach any Downs Syndrome support groups because they are ‘pro life and would try to change our minds with emotional blackmail’ would we have followed their lead?

If our community midwife had rung us at home on Friday evening with the "bad news" of a "chromosomal abnormality" (or worse still popped a scribbled note, not in an envelope, through the front door for extended family to find) and straight away said there was a slot for a termination on Monday morning, would we have assumed that was our only viable option?

The answer is I don’t know what we would have done.

Perhaps I would have wanted to keep the little life that was moving inside me, and my husband not...what then?  Perhaps we would both have rallied and strengthened ourselves in time.  Perhaps we would have had a balanced and unbiased consultant who gave us all the options, they must exist. Who knows.

But approximately 92% do feel there is no other way out in a society that still stigmatises disability and with support networks ever decreasing.  

I do know parents aren’t being given balanced information in order to make informed choices and are left with little or no support or couselling during or after testing, diagnosis or termination.

A woman I met recently was sympathetically told ‘this must have been a very difficult decision for you to make’ by a midwife as she birthed a baby she was sadly miscarrying naturally. Such is the assumption that parents will terminate.

Other couples, having made the decision to continue with a pregnancy are being asked if they are “sure” at each scan and medical appointment, and reminded that a late termination can be “arranged”.

I like to hope the reasons for this are the doctor’s own ignorances, an out of date view of disability, a residue from the days of institutions.

I fear it is more a question of cost.



Natty is 6, an ambassador, a teacher and melts hearts wherever she goes. She puts back far more into society than she takes from it, as she entertains, laughs, sings, dances, jokes, brings people together, even models professionally, bringing inclusion into advertising and widening our narrow concepts of beauty.  She has taught many acceptance, understanding and patience, for inclusion is a 2 way street that I sadly missed out on growing up in the 70s.

She has made me a better person.

She intuitively watches out for the emotional needs of her friends and classmates, always there for the needy, the upset, the ones with the bumped knees, anyone who needs a quick rendition of a Mary Poppins tune to rouse them.

You see, a person's worth can never be measured in pounds coins.

Having a disability does not make you sub-human and we should therefore all be protected by the same laws. There will always be extreme exceptions needed to protect the most vulnerable women in society, but the abilities of the foetus should not be a factor.

Do I think DS a serious handicap? No.

Do I think it’s a reason to terminate on it’s own? No, although I would never judge anyone's decision. It is not an easy road.

Do I think terminations up to and including during birth should take place? No. When I told those in our community about this Inquiry, all were universally shocked that this is legal in our society.

“Barbaric”
“Archaic”
“Appalling”
“I’m stunned”
“My little one was only X weeks when she was born.”
“DS, Cleft lip, club feet? Whatever next, ginger hair?
I leave you with the words of Natty’s big sister Mia, 8. The sibling I worried would be affected negatively by her disability in the early days:


To Natty
I love you so much
and you are the best sister
in the world and so preshus to me.
You are so important to me
and if you weren't in this world
my life woudn't be the same
and that would be terrible.

So, I love you very much and you mean evrything to me

Lots and lots of love from Mia xxx




That, in a nutshell was that. Others spoke factually and brought figures and legal points to the table. We were all a different shade of the same painting. Every one equally important part of the bigger picture being created.

There followed questions on whether we thought eugenics was at work. We all had to agree it very much looked that way.

What did we feel should be done to support families. Be given balanced info of all available options, offer prospective parents a chance to meet existing families, change doctors’ loaded language to more neutral and person-centred lay terms. I am still reeling from the Mum of a little one with a cleft lip who was told during a scan that her baby had ‘a facial deformity’.

There are many incredible medical angels out there. Thank you to them. Let’s create a few more, uncover the hidden statistics and get some proper balanced support for parents, whatever their decision is at the end of the day.