Pubdate: Tue, 10 Apr 2007 Source: Prince Albert Daily Herald (CN SN) Copyright: 2007 Prince Albert Daily Herald Contact: http://www.paherald.sk.ca/ Details: http://www.mapinc.org/media/1918 Author: Dr. Gifford-Jones DR. GIFFORD-JONES WONDERS IF STERILIZATION OF DRUG-ADDICTED WOMEN THE RIGHT ANSWER It's an ideal way to write a column: I'm attending a medical conference while cruising the Caribbean sea. I'm spending long days listening to a variety of international speakers. One speaker, Dr. George Carson, Director of Fetal Medicine at the University of Regina, reported on the use of alcohol in pregnancy. Some authorities have a simple solution for the tragic habit of drinking alcohol during pregnancy. Dr. Christine Lock, Associate Professor of Pediatrics at the University of British Columbia, says it's a myth that only irresponsible derelict mothers cause serious birth defects. Her blunt message, "If we drink in pregnancy we place our children at risk." Dr. Carson said Dr. Locke's approach is indeed simple, but he questioned whether it is good policy. He stressed that pregnancy is not a disease, and that we're scaring pregnant women half to death when they have a single glass of wine. However Drs. Locke, Carson and I all abhor the effects of excessive drinking during pregnancy. Destroying an infant physically and mentally before birth is maternal madness. But year after year in this country, alcohol-riddled babies are born suffering from fetal alcohol syndrome (FAS). Health Canada estimates that nine in every 1,000 babies born in this country have some form of FAS and one in three of these babies will have the severe form, with wide-set eyes, thin upper lips, low birth weight and small head circumference. Another medical catastrophe, reported by Dr. Carson, is substance abuse and HIV infected babies. Today women are the fastest growing group of persons with new HIV infections. He cited a typical case, a 24-year-old woman seen in the emergency department of a hospital. She was agitated by a severely infected vein from repeated drug injections. Tests soon revealed she was pregnant, had HIV, Hepatitis C, gonorrhea, chlamydia and had been using cocaine and marijuana. Hearing of this case initially made me think, "My God! Suppose this had been my mother! What a disastrous way to start life!" Today sexual activity is occurring at an earlier age. And "party drugs" such as ecstasy are linked to unsafe sexual behaviour and HIV infected babies. It's tragic for mothers to be infected with the AIDS virus. But not to get treatment compounds the problem. What a horrendous disaster! The cost to taxpayers runs into hundreds of millions of dollars. But what about these babies? I realize it's impossible to prevent irresponsible, drug-ridden women from getting pregnant. But Dr. Carson related cases of HIV women getting pregnant over and over again. Good sense dictates that there should be legislation that allows society to sterilize these women. Surely children should have the right be protected from such irresponsible mothers. But it won't happen. No one in authority has the intestinal fortitude to even mention this possibility. Write to Dr. Gifford-Jones, First Canadian Medical Centre, First Canadian Place, Box 119, Toronto, Ont., M5X 1A4 - --- MAP posted-by: Derek