Bakery

Take a few minutes to watch Yasmin Fedda's award winning documentary Breadmakers. It focuses on Edinburgh's Garvald Bakery, a social enterprise staffed by 12 people with intellectual disabilities:



And here's a better quality version.

Show some respect

Here is an extremely moving and eloquent speech by a young woman
who I've posted about before - Eleanor Bailey. She wrote this speech
and delivered it at the launch of a photographic exhibition related
to Down syndrome at Oregan Health Sciences University.
I wish I could have been there. Thanks Eleanor, for letting me share
your words.


"My name is Eleanor Bailey. I am very happy to be here today.
People with disabilities like to be treated just like anyone else.
All people should be treated nicely.
Sometimes people with disabilities are not treated very nicely.

Sometimes people just hover over us and say "just sit over there.
You can't be part of the group." They think they're too good for us.
They don't have time to sit down and talk to us.
They don't have time to help us.

I call people like that air heads.

Don't be an air head.

When you talk to me make eye contact.
Pay attention to what I say.
Listen to my words. Show some respect.

If I say I'm sick I am sick. Listen to me.
If I say my tooth hurts, listen to me.
When I speak I demand to be heard. I'm nice to you.
Be nice to me.

I am more than a person with a disability. I am a human being.
And I have feelings just like everyone else.
Speak to my just like you would like to be spoken to.

That's all there is to it.

Free Our People!"

John McGinley

A good friend of mine found this article in a magazine he was reading while spending Christmas in Cape Town. It's by actor John McGinley, who is in the comedy series Scrubs. He has a son who has Down syndrome and this is a sweet and succinct story about life not turning out quite how one expects. You can read the whole article in Best Life Magazine.

Milestones

I had a chat with a friend of mine, via Facebook, about milestones and development, which she said I could share with you. I thought it might be interesting to other new parent's out there - I guess this is something that everyone goes through.

(In the meantime, Alfie has learned to play the piano and we are considering entering him for classical music competitions)




Hello! Long time no see! Happy New Year as well!
I have a question for you about milestones Alfie hit. I'm getting depressed, I know I shouldn't be, about where Eric is in terms of development. I'm on message boards for parents with children with DS and all of there little ones the same age as Eric or younger are all sitting unsupported and getting up on their hands and knees. These kids have DS!! I was okay with him being behind "typical" kids, but now it seems like he's behind his peers as well.
Eric is not sitting (no where near) and starting to get on his knees but not the hands at the same time. I am so depressed. I went to Ian's babybook to see when he sat unsupported as I knew he was late doing this too and he was 7 1/2 months when he did. That's how old Eric is right now and he is not showing any progress at ALL in this area. Blah.
Okay, sorry for the rant but no one else understands. My sister-in-law who has been the best about all of this says not to compare and so not be sad but it is impossible! I knew he was delayed but he seems to be getting more behind everyday. Blah.
Ok, I have to stop or I get you down!!
Hope things are well!
Felecia


Oh I know how you feel!
But the only way I've found to manage this is to completely ignore milestones. I think Alfie was about 9 months when he first started to sit - it was when he was in hospital so he was between 8 and 10 months - but I really don't keep track of things like that. One reason is that Alfie had very low tone and a very big head and very poor muscle tone in his tummy. The other reason is that it makes me feel wretched.
Eric might also have lower tone than you thought - especially in his stomach. This is no indication of his overall intelligence, or how able he'll be able to manage when he's older. In fact, some of the adults I've met have been very strong physically but not so able verbally, so being able to sit really isn't a good indication of anything.
I have days when I'm so frustrated that Alfie isn't doing anything - responding like I think he should, that he's still chucking his plate on the floor, etc etc, and then a couple of days later he'll completely surprise me by crawling right up the stairs!
It might be that Eric is having a little plateau while he thinks about things and develops another area that isn't sitting. Just keep going and know that he will get there in his own sweet time. And he will get there. And you will be SO PROUD!
Also, I'm concentrating on getting Alfie to do things right, not quickly. He does learn if he is shown something enough times, and I'm so proud that he's crawling - even if it's about 6, 7, 8, months late - because it means that he's strengthening his arms and that will help him in the future.
Keep going with the physio, concentrate on getting Eric to do things right, in his own sweet time, and feel proud of your little boy for just being the cutest little boy in the world.
I feel sorry for all those parents whose baby's are walking by 12 months (like Noah was) - it feels too fast!- enjoy the lovely slow pace that our little ones take and give him a lovely big hug from me.
Alice x x x

Oh Alice, when I woke up this morning and read what you wrote to me I almost cried as you cheered me right up! Some days I have good days, others not so great. I was getting so frustrated. You are so right about teaching him how to do things right, not just fast.
On a happy note - Eric must of sensed I was frustrated and when I calmed down this morning after reading your letter, I went to work on Physio with him. He sat!!! For like two minutes unsupported!! Without falling! He's still pretty hunched over and supporting himself with his arms, but he's finally getting it!!! I am so happy - I posted some pictures. I am so proud of him I cried. By 9 months he should be fully able to sit unsupported the correct way if he keeps this up!! Yeah!
Felecia :)

Phoneme Touch and Say

Right, it's been so long since I've written anything here, I'm a bit embarrassed. In my defense, I've been working quite a lot, and I made a new years resolution to spend more time with my children and less on the computer. Which I'm being quite good about sticking to. Anyway, Felecia pointed out to me that two months with no posts is quite poor really - so here's one for you.

Alfie learned a new sign this week. 'My turn' - or 'me'. He's so pleased with himself for learning it that it's meaning has changed to 'Wow look mummy I can do a sign, look! look! look! meeeee!!!!'. He's just so delighted with himself. He realised how useful it was the other night when he was trying to reach the chocolates - suddenly he had a brainwave and tried the 'my turn' sign - and it worked. Now he's using it all the time. I'll have to try and get a video of it because he's really cute.

Also, we have just started working with speech pathologist Jill Hicks. Mat and I are really excited about this. She uses a sign system to help show children, visually, how sounds are made, and how they are different from each other (well, there's more to it than that - but that's my quick summary). It's called Phoneme Touch and Say - and has emerged from her professional practice and her experience of having a daughter who has Down syndrome herself.

To start with we are working on four sounds. Da, Ma, Oh, Eee. For Daddy, Mummy, NOah and AlfiE. I'm making a picture book with photo's of each of us, and I'm going to hold it up and say the sound very clearly, and then show him the sign for the sound while I say it. The plan is to do it lots of times so he can clearly see that there are different sounds in these words. Obviously, we'll have to do it many times. I'll post up here how it's going.

Also, Jill pointed out something really useful. She made a quick video of me chatting with Alfie and noticed that I ask him chatty questions quite a lot - for example 'would you like some more?' 'how about we put it this way up?' 'would you like the cow?'. Instead of doing this, I'm going to try and say shorter, or one word, sentences - 'more' 'this way' 'cow'. The aim of this is to build up Alfie's vocabulary - give him the meanings of lots of words very clearly rather than lots of extra information that doesn't really matter to him. I'm really pleased with this - it makes perfect sense and I wouldn't have thought to do it myself.

I really think that clear speech is the key to giving Alfie confidence and independence as he grows up. So we are starting now.

This shouldn't be a one off!

Our young person's art club has been going so well - I love it so much!

This is the first time I've been involved in an art project that I've felt so passionately about - and that I think has made such an incredible difference in people's lives.
It's outrageous that there isn't more in the way of social activity for people who have intellectual disabilities, or other types of specialist need, here in Nova Scotia. It's such a caring community - it really doesn't make sense!

Another parent and I have put together a proposal for a social and learning centre that we hope will provide a permanent solution for the hundreds of people who are currently suffering from social exclusion in this province. In the mean time, check out our Teen Possibles blog to see the difference that a weekly art workshop can make in people's lives.

Faces Extinction

Check out this amazing campaign about genetic screening for Down syndrome that Renate Lindeman has put together. I am so impressed that she is pushing forward and encouraging people to discuss this important issue.

The more we talk about the difficult ethics involved with pre-natal genetic testing, the more likely those that carry out these tests will challenge and question their accepted practice. At the moment, the way that screening is handled causes a great deal of unhappiness for too many people - and because the ethics can so easily be linked to a pro-life/pro-choice debate, people steer clear of discussing the complex issues involved.
Let's take this conversation out of the closet!

Panel Discussion on Genetic Testing

I've just watched the first episode of Heroes on the TV. There's something unsettling about watching a fantasy of genetic mutation that leads to extraordinary superpowers for those affected, when in real life you are sitting with someone who lives with the real effects of a genetic mutation - and it doesn't lead to flying or stopping time! Not that he isn't super, but still... - actually I think that Alfie should be on Heroes too.

I was asked to give a parent's perspective at a panel discussion on genetic testing last week. (I felt sick every time I thought about it for weeks, but it turned out quite well in the end).
Here is a news article about the panel discussion, and here is some more information about the campaign that launched it. And, if you've got about 10 minutes... here is what I said:

"While I wouldn’t say I was an expert, I feel that I do have valuable expertise as someone who knows from personal experience about Down syndrome – the condition that is most commonly detected through genetic screening.
I have two sons: Noah who’s nearly 4 – he was born without Down syndrome, and Alfie who’s 1 and a half – who has got Down syndrome.

When I was pregnant, everyone at our hospital was offered the nuchal fold test as a matter of course- regardless of age, and for my friends who had had it, it had been a very scary and stressful time. My husband and I decided to decline the test because both our pregnancies were planned and we felt very strongly that we would love our children, no matter what. We weren’t going to love them less if they were boys or girls, if they had heart problems or diabetes, if they were short or tall, or if they had Down syndrome, - we would love them for themselves. We were pleased that we’d had this discussion when Alfie was born because we knew that we’d already thought about Down syndrome, and it was something that we thought we could cope with. And although it was a shock and we had to take a deep breath, we knew where we both stood and were able to hold hands and go forward.

The issue of genetic screening is sensitive and people worry because it can easily be seen as an anti-abortion issue. But for me, it is a woman’s rights issue, and an issue of disability discrimination.

At present, women are offered genetic screening to detect chromosomal abnormalities with no counseling about what this could mean. They are not prepared for the choices that they may have to make. And most people don’t know anything about Down syndrome. Because everyone is screened and offered a termination for Down’s – the assumption is that it must be a dreadfully debilitating condition that causes extreme pain and hardship for all involved.
The social stigma that surrounds Down syndrome and other genetic conditions, combined with the minefield of the abortion debate, can make this a tricky area for the medical staff who carry out genetic tests. They don’t want to force parents to have babies that might have health problems in the future, and feel the need to highlight the potential risks, partly to protect themselves from legal retribution. But this medicalised approach can mean that potential parents are pressurized - sometimes overtly, into making the decision to terminate, and leaves other parents feeling guilty, foolish and alone for choosing to continue with a pregnancy. It also means that a realistic picture of life with a child who has Down syndrome is rarely given.

I believe that at the moment we, as a society, are not doing right by pregnant women. If women are given clear, unbiaised information, before they have diagnostic tests, and preferably even before they become pregnant, they will be more able to make informed choices that are not rushed or clouded by a fear of the unknown, or ill-informed prejudice.

What about those who regret their choice? Or those who find out that they based their decision on something that was not true? When women are only given information from the medical perspective, and encouraged to have terminations without being able to share the stories of those who actually do the work of parenting children with Down syndrome, from birth to death, they are being denied the right to true choice.

When I was pregnant with Alfie I went for the 21 week scan and it was obvious that something was wrong – the staff got in a fluster and there was lots of too-ing and fro-ing. In the end the consultant was called in and she looked over the scan and said – “it’s all within the range of normal for a boy, but if it wasn’t we’d be talking about Down syndrome, and I know you don’t want to have that conversation”. But the truth was I did want to have a conversation about Down syndrome. If they knew that there was something up with my son I wanted to know about it – but the sort of conversation that I wanted wasn’t just a ‘should I terminate this pregnancy or continue with it’ conversation – I wanted a more rounded discussion than that. What could Down syndrome mean for my family? for my unborn son? for his life and for his future? But that sort of conversation wasn’t offered.

The arguments that I have seen to support mass screening in order to prevent people with Down syndrome from being born are these:

1: It is economically more cost effective for a society to limit the numbers of people who are born with special medical and basic living needs.
2: Down syndrome causes extreme hardship and suffering for the person who has it.
3: Down syndrome places severe hardship on the mother and family of the person who has it.

I believe that all of these arguments are flawed or based on very outdated information.

Firstly, I don’t believe that putting a financial cost on a person’s life is an accurate way to value it. It is simply not possible to say, for certain, how much a person will cost society during his or her lifetime.
We cannot know if someone will get a job, go to prison, have a large carbon footprint, or cause misery to everyone they meet, before they are born.
We don’t encourage terminations for people who are more likely to have breast cancer or diabetes, or those who are likely to lead expensive lives in terms of cost to the environment, or lawlessness, or even just general unpleasantness, so why encourage terminations on the grounds of an intellectual disability? There are ways of life that have a greater cost to society, so to pinpoint Down syndrome in particular, is to make a decision based on prejudice.

Secondly, my experience is that people who have Down syndrome do not live a life of suffering any more than people who don’t have it. Medical treatments mean that more people have a good quality of life and survive heart problems. But prejudice and misunderstanding, and a lack of specifically designed services, can mean that people face more obstacles than they need. I believe that genetic screening actually adds to this prejudice by fueling the fear that Down syndrome is ‘terrible’ – something to be avoided at all costs – something to be stopped before it even begins:

This view negatively affects people throughout their lives, and as fewer people are born with Down syndrome, so fewer services are available, fewer people know someone who has this particular disability, and more prejudices are reinforced.
If fewer people are being born with Ds - this must have an impact of the lives of those who do live with the condition. A friend and I have recently started running a club for teenagers who have Down syndrome, and they say that they get a lot from feeling like they belong and have friends who like the same things as they do. What about when Alfie grows up? This is a particularly mothery thing to be worried about, but surely fewer people being born with Downs syndrome will affect his chances of finding a girlfriend, making friends, feeling that he has something in common with other people, feeling that he is not alone.
In my opinion, genetic screening actually exacerbates suffering and hardship for people with living Down syndrome more than it prevents it. If we as a society want to prevent hardship and suffering for people with intellectual disabilities, we should be investing money, not in genetic screening, but in ‘back to work’ programs, in training for independent living, in support groups and social groups, and in Down syndrome specific health programs.

Thirdly, I too had the fear that life with a child who had a disability would be one of hardship and suffering. It was something I wanted to avoid and something that I was afraid of. But it hasn’t turned out like that. When potential parents are counseled that having a child with a disability will put a severe hardship on their family, they are given misguided information.

It’s quite easy to view parents of children who have Down syndrome as special parents, super parents: the reality is that I’m not a super mother – I’m not someone who lives for her children and has endless patience. If I don’t get a full nights sleep I’m pretty horrible to be around, and I have limited interest in cleaning and changing diapers. I don’t think that I have special skills that set me apart as a remarkable mother, I just try to do a good enough job. And being a mother to Alfie has been a really joyful experience for me. I fell in love with him, just like I did with his brother, and he responds to me with love, cheekiness, and occasional crankiness – just like his brother.
I have been surprised that the similarities to parenting my son Noah, have been more than the differences.
Alfie is by no means an angel, I don’t feel blessed especially, and I don’t have a romantic notion that he is somehow more wonderful than my son who doesn’t have Downs. But he is lovely and cute and funny and fun to be with. He is responsive and stubborn and bossy and curious. He hasn’t been as irritable as typical children can be, and as one friend described her son – he is actually ‘embarrassingly easy’ to parent.
I’ve been more worried about his health than I was with Noah – he’s been more prone to catch colds and last year he had pneumonia that kept him in hospital for two weeks – so it’s not all been plain sailing. But the difficulties that we have faced haven’t made us overly depressed or upset – they haven’t put a severe strain on our family life or our marriage. On a day-to-day level, our biggest problem is trying to stop him climbing the stairs and stealing toys off his brother.
The strains that we have experienced have mostly come from being part of a society that puts more emphasis on preventing people with Down syndrome from being born, than on supporting them to lead independent lives, fully included as part of our community. As fewer children are born, resources are steadily reduced. I am more likely to have to closely parent my son during his adulthood if the supports are not in place to help him live independently - surely this is where the emphasis should be in order to help women like me - rather than on encouraging us to give up our children.
Alfie’s pretty cute at the moment and I know he won’t always be a cuddly baby, so it’s been really good for me to meet teenagers who have Down syndrome – to see what the future holds for us. And I’ve found that everybody is different. The young people who take part in our photography project are individual and similar, fun and reserved, cautious and vivacious and mostly, they are just themselves- just teenagers wanting to hang out with their friends and have a laugh. Alfie will be more like himself than he will be like a person who had Down syndrome. He might have a job, he might fall in love, he may do something completely surprising. The extra chromosone doesn’t define his personality and I don’t’ think it should define his future. I hope that my son is able to grow up in a society that values diversity. A society that doesn’t run in fear from difference. I hope that Alfie is confident and proud of who he is. And I hope that he is not alone."

Respect to Eleanor Bailey

Here is a speech by Eleanor Bailey. She is an advocate for people who have Down syndrome. When I first started writing this blog I posted an article that I found on the internet - she had written it when she was just 11. Now she is 19 and it's great to see that she is still going strong and standing up for other people who have Down syndrome.

Eleanor Bailey: Buddy Walk Speech
September - 2007

"Good Morning. Welcome to the Buddy Walk.
Thank you for asking me to speak. It is a great pleasure for me to see you all here. It is always
a great pleasure to see so many people with Down syndrome together in one place.
People with Down syndrome all want freedom, just like everybody else!

All people with Down syndrome have the right to be included in every part of the world.
Children with Down syndrome have the right to go with school in a regular classroom with other children.
Adults with Down syndrome have the right to a good job that makes them proud and independent.

People with Down syndrome have the right to marry and have families just like everyone else.
People with Down syndrome have the right to a nice place to live.
People with Down syndrome have the right to good medical care.
People with Down syndrome have the right to transportation to wherever they want to go.
People with Down syndrome want to be happy.
No one belongs in an institution or nursing home.

Here is my message- always be proud. Don't let the fear of striking out keep you from playing
the game!!
Be proud!
Make your own choices!
Make good choices!
Remember disability pride. Be proud of who you are.
Be proud to be a person with Down syndrome.
Thank you for coming today. Have a wonderful celebration.

Free Our People!!
Thank you"

Brothers playing

Alfie and Noah love to play together. Alfie can't take his eyes off his brother.

Thank goodness for Holland!

This is interesting. The Down Syndrome Society in the Nederlands has launched a new poster campaign. The caption reads "I can.... May I? - Down Syndrome is a chronic illness and we are looking for suitable treatment".







This strategy is to renew interest into research into Down syndrome and counteract the prevention of Down syndrome via termination of pregnancy.

The Nederlands Down Syndrome Society is very successful. In Holland a pregnant woman will be given counselling when she recieves a positive diagnosis for Ds and will have to take three weeks of counselling before she makes a decision about the continuation/termination of her pregnancy. The country's termination rate, (I believe - don't quote me) is around 50% rather than in the high 90%'s (for UK, Canada and USA).
Down Syndrome Awareness Day is a big deal in Holland too, with the Queen attending a special ceremony and loads of press coverage.

Hopefully our Down Syndrome Society will follow suit.

Ooh Ooh! I've won something!

The Possibles 2

Actually, I think it's really healing for me to work with the teenagers who have Ds in the photography club we've put together. Somehow meeting such individual and similar, fun and reserved, cautious and vivacious young people has helped reaffirm to me that Alfie will grow into an individual, an Alfie. He will be himself. And I don't have to worry about that too much. Everyone is so different, but if he's anything like these kids, I will be very proud.

We've got some more pictures up on The Possibles blog.

The Possibles 1

Our new club, The Possibles, is starting on Saturday so I've been running around with Renee (the other artist) getting everything organised.

One of the young people who is taking part came up with the name 'Teen Possibles' - I think it's great. Other members have rehearsed a hip hop dance, thought up a theme song, and even made a power point presentation! This is all before we actually start! We're all getting quite excited.

Please visit our Possibles blog to find out more.

Noah is a Hot Potato

Here is a slide show of Noah. He chose the music - it's called 'Hot Potato' by The Wiggles, (thought I'd put that in case you want to buy the album!).

Make video montages at www.OneTrueMedia.com

The Developmental Report

RE: McCarthy, Alfie Peter
Unit Number: P0044hosp7
Date of Birth: 29/06/06
HCN: 02834948372
Location Code: Dev
Seen in Clinic: 25/07/07

Alfie and his mother were seen in the Developmental Clinic in followup today. Alfie is now 12 - 1/2 months old and was last seen in May 2007. As you know, he is a little boy with Trisomy 21 and congenital CMV infection. At the time of his original consultation in May, Alfie was unwell and we were unable to complete a developmental assessment.

But now we have done it and are sending this copy to his parents. It will be interesting for them to read this 12 page report about their son and useful for them to have a copy of the information that is used to assess his development. But in addition to this, it will feel a little bit demoralising. They will read through a description of their son that concentrates on all that is 'wrong' with him, from his head, to his toes. Alfie's mother will process this by re-writing the report so that it more accurately describes her son.

On examination of head and neck, Alfie was noted to have a large anterior fontanelle with a relatively flattened occiput. He has his mother's eyes and a little button nose. Examination of the extremities revealed short, broad hands, again like his mothers. There is a gap present between his first and second toes on both feet. On neurologic examination, no facial asymmetry was present and he is undoubtably an extremely handsome child.

All the achievements of which his mother and father are so proud will now be dismissed in short sentences that compare him to a large number of children who do not have Down syndrome, and for all we know, might have nothing special about them at all. On the gross motor subscale Alfie had an equivalent age of 7 to 8 months. On the Self-Help Subscale, Alfie had an age equivalent of 9 months. His cuteness factor was 140% and by parental report his happiness level is equivalent to that of a child who has been born into a loving home and adored, from the very start, by all who have ever met him. His mother and father are, quite rightly, extremely proud and contended to have produced such a unique and charming son. Together with Alfie's older brother Noah, they appear to be a perfect family.

Sincerely,
A Doctor, confined within the traditions of a medical model of diagnosis, who has to write these reports for her job, MD FRCPC

/EHM
c - my blog

Pops Reading System

Just a quickie - Alfie's Nan and Grandad have brought me an article about some really brilliant books, a reading system designed for children who have Down syndrome. I don't know if they're available in Canada or the US yet but maybe our local library can get a copy (I've got an in there as Mat's a librarian).
Alfie and Noah are doing great - Alfie can pull himself up to standing!!! Wow! (He's only done it over the side of the bath so far - a bit dangerous - I've got to watch him like a hawk now), And he's started waving. It's just too cute. I'll try and get him to do it on video so I can post it.

Alfie's First Year

Photo and video editing at www.OneTrueMedia.com

I've written an article about prenatal testing

Giving accurate, unbiaised, information should be at the heart of prenatal testing
by Alice Evans

Twelve weeks into pregnancy most women will now be offered a scan to see how their baby is doing. A chance to actually see the little bundle of trouble that’s already keeping you up and night, sending you running to the bathroom every morning, and rushing your body with previously unknown levels of hormones. Most women look forward to this scan as an opportunity to reassure themselves that they aren’t imagining it, they really are pregnant, and everything is alright.

But, what happens if it isn’t? Finding out that there might be something ‘wrong’ with your baby is a dreadful, heart stopping, experience, and one that the majority of women are ill-prepared for. Some do not even realise exactly what their fetus is being tested for, and when they are told that there is a chance that their baby has a disability, it’s true to say that the bottom can drop out of their world.

To make matters worse, many medical practitioners do not have the counselling skills needed to help women through this fraught and confusing time. Many complicated decisions need to be made and questions answered - and not always questions that have straightforward answers...’Should I have a test that gives me a conclusive answer and risk miscarriage?’...’How could this ‘anomoly’ affect my babies health?’... ‘How could it affect my child’s life?’... ‘How would it affect my life?’.
With only medical staff to answer these questions - normally staff who have no actual experience of living with a child who has the condition, it is not surprising that 90% of potential parents who are given the diagnosis of Down syndrome choose the most direct and seemingly straightforward option of termination.

The social stigma that surrounds Down syndrome and other genetic conditions, combined with the minefield of the abortion debate, can make this a tricky area for doctors. They don’t want to force parents to have babies that might have health problems in the future, and feel the need to highlight the potential risks to protect themselves from legal retribution. But this medicalized approach can mean that potential parents are pressurized - sometimes overtly, into making the decision to terminate, and leaves other parents feeling guilty, foolish and alone for choosing to continue with a pregnancy. It also means that a realistic picture of life with a child who has Down syndrome is rarely given.

Michael and Felecia Outhouse, new parents who were given a positive result for fetal anomoly last year, found that the information they were given was woefully inadequate:
“ Upon receiving a prenatal diagnosis of Down syndrome I found that health care professionals volunteered little information about raising a child with Ds, yet took great efforts to inform us that termination was not something to feel guilty about. When asked to make this decision you are highly unstable and it is a time when you need the true facts. I shudder to think what my life might be like had we not undertaken our own research and had relied on the information given by the professionals. He is such a lovely, healthy baby and we love him so much! ”

My personal experience as a parent to a child who has Down syndrome, is that nothing could have prepared me for the joys, pride, and laughter of living with my son. I am grateful to the doctors who, when he was born, told me to focus on the possibilities rather than disabilities - their support was crucial at this extremely emotional time. Having seen the stress that many of my friends had been through when undergoing prenatal testing, my husband and I had decided that we would commit to our pregnancies regardless and would therefore forego the nuchal fold translucency tests offered to us. Other women, however, strongly feel the need to know. Action needs to be taken to ensure that this process is not needlessly stressful, and to support, counsel, and prepare potential parents, whether or not they receive a positive diagnosis.

In the UK and USA steps are being taken to ensure that the giving of a diagnosis of Down syndrome, or other genetic condition or ‘anomoly’, is carried out in a clear and value neutral way that supports choices, and does not direct parents to a specific outcome. Systems are being set up to ensure that doctors’ personal viewpoints do not overshadow the giving of a diagnosis. In order to provide parents with a real and informed choice, the same guidelines and legal requirements should be introduced in Canada.

The Nova Scotia Down Syndrome Society have set up a petition calling for a Prenatal and Postnatal Diagnosed Condition Awareness Act.
Such an Act could lead to training for medical staff including training in counselling skills, the use of neutral language, and awareness of negative personal prejudices. Guidelines could be created that are informed by medical practitioners, alongside parents who have chosen to continue a pregnancy, parents who have chosen termination, and adults who have the relevant genetic conditions.

If created, this Act could also lead to awareness campaigns about what pre-natal tests are for, what choices are available to women, and what life with Down syndrome and other genetic conditions means for children, adults and families - including information about the support and resources available. Research into the best ways of communicating complicated information could also be utilised. If women are given clear, unbiaised information, before they have diagnostic tests, and preferably even before they become pregnant, they will be more able to make informed choices that are not rushed or clouded by a fear of the unknown, or ill-informed prejudice.

To find out more about this Act, and to join the campaign to have it introduced in Canada, please visit :
www.gopetition.com/petitions/canada-needs-a-prenatal-diagnosed-condition-awareness-act.html
or visit www.novascotiadownsyndromesociety.com

Antenatal Results and Choices

My mum told me about this interesting program on the subject of antenatal screening on Woman's Hour on BBC Radio 4. They are introducing new guidance on the screening process in the UK and this program explores the issues in quite an interesting way - it's from a medical standpoint, not a specifically pro-Down syndrome standpoint, but I think it's interesting to see that way that the subject is handled by the mainstream media in Britain.

In the UK there is a charity set up to help people make decisions when they are given a pre-birth diagnosis of an 'abnormality': ARC - Antenatal Results and Choices. It's a non-judgemental system that helps people understand what their choices are, and links them to the support groups that can give them more information. That's in the best case scenario - I, personally, doubt that it's what usually happens.
On the program they are also talking about giving more information about these choices before people get pregnant - with case studies and information available on the internet and through the health service. This makes a lot of sense - trying to think about Down syndrome for the first time when you are being told that you are 'high risk' and you have loads of hormones floating about your system isn't the best time to take in complicated information.

Ps. Please excuse the photo - as this is such a dry post, I thought I'd choose a picture that would spice it up a bit - this is me the day before Alfie was born. ooooh.