Friday, January 7, 2011

Feeling Of Cervix Before Period

pregnancies series B?!? And why??

few days ago, intrigued by a link on the homepage of Republic, I read this post entitled: Amniocentesis goodbye? On arrival, the number of pregnancies B . I try to understand something more, also because in a few weeks over 35 years and would like another child soon, so I'm concerned the issue very closely. Do a google search and found a multitude of articles on other websites or blogs, many of them are indeed a copy / paste of this article, for example, amniocentesis goodbye? Coming pregnancies series B . The first thing that gives me much to think about the scientific credibility of the writer is that there is no reference, no official source from which to read the news.
They write:

"The new address the guideline states that amniocentesis and chorionic villus sampling may be performed free of charge to women tested positive for a blood test , to be made between the 11th and 13th week, a combined test based on maternal age, nuchal translucency and some values \u200b\u200bin the blood, which allows identification of women at risk. To date, however, all women over 35 were entitled to the analysis always free. "

and conclude:

" With this in mind the suspicion that the real reason that has prompted the National Institute of Health to adopt these guidelines is not related to excess hospitalization and high costs. The suspicion that once again with the excuse of cuts and misleading reality, the reason is essentially ideological. Not surprisingly, the Church itself has said they liked the new guidelines. "

and


" So, once again, there will be women's league, which is turn to private hospitals through increased disposable income, and women of series B. More likely, the latter may give birth to a sick child without even knowing it and must also support the cost in terms of time and money that this entails. "

Now, I'm the first to criticize the fact that the Church and the Vatican always put his mouth in all that concerns issues such as procreation, abortion and prenatal diagnosis. I am convinced that they are also the leading cause of cultural and scientific setback for this country. But this time I honestly just did not c'entrino nothing.

In recent years there has been a new screening test, the Tritest . This allows you to calculate the risk that the child suffers from Down syndrome (trisomy 21), trisomy 18 and triploidy (chromosomal abnormalities with higher incidence). The Tritest combines the result of some values \u200b\u200bin a blood test with nuchal translucency, which is data obtained by ultrasonography, as a factor since the age of the mother (and therefore not a trivial 'blood test'). It 's a probabilistic test, a probability estimate precisely (risk) then a negative result does not give the certainty that your baby is healthy. L ' amniocentesis
instead gives this assurance, but it is a very invasive test that involves a risk of miscarriage which is not negligible, and certainly depends on the skill who performs the exam, but it is not ever zero. Until last month amniocentesis was free in public facilities for all women older than 35 years. From this month but will be so only for women - of any age - a positive result Tritest. Honestly I do not see what's wrong with this new law, once there was no other way to estimate this risk except in the age of the mother, even set the threshold at 35 years was a probabilistic choice, as much as that of rely on the result of Tritest. The Tritest allows a more precise calculation of this risk, because the progress of technology has allowed us to do, that's all. Moreover also takes into account the age of the mother in this calculation. So why undergo amniocentesis if the risk of miscarriage is higher than the risk that the child is Down? In this way, moreover, will benefit all women who need to perform the examination, regardless of age. In a country where in some regions there are long waiting lists for routine examinations of a choice then I do not think so 'undemocratic'. I have a friend in Rome who was pregnant when he had to pay his own pocket in the private sector because all the examinations for a morphology of the public would have had the appointment after the expected date of childbirth, and breathed a sigh of relief when he saw the Tritest negative because he knew that would not be able to do the amniocentesis in the hospital, having regard to waiting lists, clinical and prices were prohibitive. Here, I find it such a law an act of civilization.

I sought information on official websites (Ministry of Health, National Institute of Health) and I found this page, where you can download the guidelines on normal pregnancy, and this . At the last page I read:

"International experience shows that application of the combined test has improved the ability to prevent lowering the costs both economic and especially humans, resulting in the loss of healthy fetuses that occurs with invasive prenatal tests. "

short non è che al ministero si sono svegliati la mattina e hanno deciso di fare questa legge ma ci sono studi epidemiologici internazionali che dimostrano che è la scelta giusta da fare. Io stessa ho dato il permesso di utilizzare i risultati del mio test per uno studio di questo tipo quando aspettavo mio figlio.

Il punto è che questo è il paese del detto: " piove, governo ladro " e dell'ignoranza scientifica. Qualunque nuova legge e qualunque cambiamento prodotti dall'innovazione tecnologica e scientifica sono sempre visti come un complotto alle spalle dei poveri cittadini. Il concetto di rapporto rischio/beneficio e costo/beneficio è totalmente sconosciuto the majority of Italians, yet it is something you should teach in school because I used to feel like the world to know the multiplication table, make additions and calculating percentages. But thinking back to certain scenes seen in stores in time for sales I'm afraid that even with the percentage Italians have some problems ...

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