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A Doctors dilema

Dr FR | 24.08.2004 10:16

Non-invasive Foetal Heart Monitoring, should I use this technology.

Please read the following paper and then help me decide if I should use it.


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In both adults and children the standard tool for assessing the heart's electrical activity is the conventional electrocardiogram (ECG). It's the well-known technique that gives the relative timing of different heart functions, as well as the overall heart rate. But until now there has been no equivalent equipment for non-invasive foetal ECG. The difficulty is the weakness of the foetal signal at the mother's abdomen and the presence of strong interference from the mother's heartbeat and other sources.

Queen Charlotte's Hospital and Guy's and St Thomas's Hospital worked with XXXX to develop a fully working prototype system for non-invasive foetal ECG (fECG), that has the potential to change foetal science and clinical practice.

Using techniques originally designed for defence, XXXX developed sensors that are applied to the mother's skin. They detect the unborn baby's own electrical heart signals passively, and separate them from the mother's own signals and any other interference.

Queen Charlotte's Hospital made the first recordings with the XXXX equipment and helped with the early development of the recording technique. Since then they have been piloting the system, along with Guy's and St Thomas's Hospital. The foetal ECG (fECG) has the potential to change both foetal science and clinical practice.

These two hospitals made over 450 fECG recordings with the equipment. Most were from normal single pregnancies, to establish the vitally important normal clinical parameters that have never before been available.

Recordings on abnormal pregnancies have also detected previously unknown abnormalities, which were later confirmed by ultrasound. For example, the XXXX equipment detected a potentially fatal case of Complete Heart Block that may otherwise not have been found. The baby was delivered early and is now doing well.

Successful results have also been achieved for multiple pregnancies including twins and triplets, as well as singletons - believed to be a world first.

The fECG has the potential to change foetal science and clinical practice, by screening for abnormalities and monitoring high-risk cases. It has already saved one life and could save many more.

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I am sure like me when you read this paper you though "Great, a step forward in medical research that will benefit us". Well you're right it will, but I have a problem the company who developed this technology is QinetiQ and they did it in conjuction with BAE Systems. As a life long opponent of the Arms Industry I want to take a stand not to use this equipment but as a Doctor I must think first of the needs of my Patients.
I would be interested to hear what others think.


Dr FR

Comments

Hide the following 5 comments

hipocrasy vs hypocrisy

24.08.2004 12:02

Do you have a bank account? If so you have probably colluded with the arms industry already. So get a grip and do your job.

Thought this was going to be a hard decision. It is not.

If you don't use this and some kid who could have survived dies, BAE will not stop any of their other operations.

Instead of not using it, why not organise your colleagues and anyone else who is sympathetic to disrupt any high-profile opening ceremony or follow-up or whatever associated with it, so you can link the things together.

x


arms trade R&D

24.08.2004 14:40

of course this is a pitch from the BAe corporate comms office.

>>Using techniques originally designed for defence, XXXX developed... {some kind of life saving tecnology)

now you have the new life saving technology, use it. but does this in any way justify +continued+ R&D in the defence industry? no. the economic justification you imply - that medicine can't progress without the science of manufacturing mass death - is an apparition conjured up by profiteers. it's not complicated.

- -


Defence based command economy.

24.08.2004 15:45

Hi Doc,

Your using the internet arent you? Got satelite TV etc?? All of these things were originally developed by the 'defence' industry. Most hi-tech industry originates there. Its a way for the state/corporate sector to proclaim the wonder of free trade whilst at the same time really running a semi state-command economy. Basically, most hi-tec R&D is carried out at taxpayer expense in the 'defense' industries, then private companies release the product onto the market and reap the profits. Make costs public, profits private. Gedit? The economy is state planned, at least in this respect.

So use it, save a life!

But as the last poster said, that doesnt mean that this is the way things should be or have to be, and ya gotta keep trying to break the arms industry. But I kinda like the irony of using their products to destroy them.

And yeh, disrupt that opening ceremony type shit, dont let em get away with any sponsorship type stuff, subvert their publicity! Good luck.

Stu.


Another opinion

25.08.2004 02:47

hi,

i also work within the paediatric medical field and agree that, although many things are produced or researched by companies with dubious ethics, we do have to use them. and to not use them would be unethical...

of course, it may be better to assess whether it adds anything clinically: the incidence of foetal arrhythmias is very low and such a machine may not be cost effective over all - there are already good methods for measuring foetal heart rate in-utero; i cannot think what knowing the actual ECG pattern would add...

love and solidarity,

--gdm

gdm


if you have a bank account...

25.08.2004 08:18

if you have a bank account, then have it with the co-op, smile (their online service) or triodos banks. they will not invest your money in some of the worst corporate stuff - e.g. the arms trade.

for example, here's the co-op's ethical policy:
 http://www.co-operativebank.co.uk/ethics/ethicalpolicy_policy_revised.html

they're not perfect, but in this world, it's pretty damn good.

whether to use the equipment? i think you'll have to, but make sure you kick up as much shit as possible about the arms trade as well.

disarm