What is missing on the American Academy of Pediatrics Policy on stem cell collection?
I have concerns that the newborn/neonate are being exploited and harvested for their stem cells and allowed to be so by the American Academy of Pediatrics, by Donna Young.
Below are the concerns shared regarding withheld information that the public cannot make informed decisions
and the newborn
infant is not being protected from no harm done, the first duty of all medical associations and all
levels of government and their
hospitals. A medical website that is trying to educate the inadequate trained younger doctors
is available at:
www.cordclamping.com
Medical Library
American Academy of Pediatrics "Dedicated to the Health of all Children."
Open Letter to Chair Person and Policy and Ethics Committee, by Donna Young
March 18, 2003
I believe AAP statement, excerpts below, on the collection of stem cell is currently lacking in the
necessary information to do no
harm and to give equal protection and security of person to the newborn child. This is a duty
owed to the newborn infant by the
legal guardian of the child, the mother and father of the child, as well as duty not to cause a criminal
assault/battery on the child by
blood deprivation and endangering the life or quality of the life of the child, the owner of the placenta
stem cell blood deprived by
early cord clamping.
How much blood can be deprived the infant by early and immediate cord clamping, such as 20 to 50 percent
deprivation by not
waiting for all pulsation to cease, is not clearly represented to the public for them to make an informed
decision.
The amount of blood may mean, as to the size of the infant is being deprived, anywhere from 4
to 6 ounces (180 ccs) of blood
deprived and the facts that a 9-pound infant only makes a total volume of blood for his/her own needs
of 10 ounces.
That wavering from known empirical science, written down by Dr. Erasmus Darwin, followed by competently
and ethically trained
medical persons of the past, is today, by trends, being ignored, for a variety of excuses. But
not good reasons by the government
licensed medical persons, including midwives, doulas, ambulance attendants, nurses, practical nurses,
family doctors and
surgeons, and not being reported as child abuse, and assault and battery. And, where the infant
dies by insufficient blood
transfusion to his/her lungs, failed to be reported as manslaughter.
What did Darwin, the grandfather of Charles Darwin who promoted survival of the fittest, have to say
on this issue regarding what
is correct empirical science, observable in any barnyard or in any zoo providing for the care of other
placenta birthing mammals?
He correctly said:
"Another thing very injurious to the child, is the tying and cutting of the
navel string too soon; which should always be left till the child has not
only repeatedly breathed but till all pulsation in the cord ceases. As
otherwise the child is much weaker than it ought to be, a portion of the
blood being left in the placenta, which ought to have been in the child."
Erasmus Darwin, Zoonomia, 1801, Vol III, page 302.
This has been proven time and again to be observed as the best practice possible, unless the cord tore, or for placenta previa.
Generally, the patient physician waits until all pulsation has ceased. Ideally, that is waiting
for the placenta to be delivered
naturally, without pressing on the mother's stomach, nor using drugs to make delivery of the placenta
faster.
Ethical care and treatment to the mother and child means no invasive touching, hand-squeezing of the
umbilical cord, the
lifeline/hopeline transfusing blood, be the cause of weakening any child.
Using oxytocins, without the mother being told will cause the medical person to do early cord clamping,
and thus blood
deprivation to the child, and oxygenated blood if the placenta is still attached inside the womb, has
a policy following the drugging
to prevent brain damage, alleged by the World Health Organization.
Doctors then use the Dupont clamp, that clamps and cuts instantly the pulsating cord. They
do this with followed cord traction to
pull on the cord, now cut, to remove the placenta faster, before the oxytocin causes the womb to shut
down faster, fearing the
placenta to then be removed by an operation.
The mother is feared risks of blood clots and the infant's placenta blood bursting inside her womb,
mixing the blood's together,
causing her problems to carry future children, or healthy children.
The assault on the child by 1/2 cup of blood deprived to 1 cup of blood deprived a child by early clamping
is unethical. This is
even with informed consent by the legal guardians of the child. It is, by criminal definition
of unnecessary medical procedure,
considered by some, including myself, as a criminal assault and battery done to the child.
Our society seems to be forgetting that the duty of all adults is to the protection of the child. The
placenta and the blood and
nutrients of the blood were created by the infant for his/her own needs. The placenta is not the
organ of the mother's. It does her
no harm if the baby receives all his/her own blood which may take a drugged child over 14 minutes before
all pulsation in the cord
ceases.
The busy hospitals of today, operate on an "active management" policy, using drugs to hasten
the labor and to control when the
mother will birth her baby. Often the decision is timed to accommodate a busy hospital staff by
the use of drugs.
Morphines will delay the labor for the staff to prepare, and relax the mother. Then the staff
will use oxytocins/Toesen/Pitocin that
cause the womb to have strong hard labor that the mother cannot control, and some will actually be in
so much pain and the child
is suffocating by lack of oxygen, she will consent, then, to a c-section.
Usually, an early clamped child will not have a blood test to check for iron deficiency or other nutrient
deficiencies caused by early
umbilical cord clamping. This the pioneers who birthed in the privacy of their own home did not
do.
Early cord clamping is also a form of euthanasia that medical persons have long known was a method to
put down a child, they
believed too small to live or would not have a satisfactory life. While all methods of revival
are taken, in appearance to save a live-born child, the child cannot live without sufficient blood
in his/her lungs and will go into shock and die. No investigations will
usually be done for a licensed medical person, nor how much blood was actually in the child, and how
much remained trapped in
the placenta by early cord clamping on a pulsating cord.
The baby drugged because all drugs cross the placenta will be often distressed by the harsh labor contractions. The drugs are
sometimes given when the child not prepared in a proper birth position. This causes the child
more distress. Distress by lack of
oxygen getting to the child often causes the child to discharge meconium (poop). Usually the anus
is not open until after birth.
The child is also trying to quickly create extra blood of red cells needed to carry the oxygen to the
child. This is in an attempt to
counter its death by lack of oxygen. The increased red blood stem cells then are deprived
the child by early cord clamping.
The mother is subjected to the cutting of her body for the delivery of the child. Episiotomies
are common for the inexperienced
mother, birthing flat on her back or in a semi-sitting position, having her womb shut by 30 percent. This is a convenient position,
not that it support empirical medicine, but rather is easier for the medical person to maintain control
over the fearful and
vulnerable woman and child. The mother is not being directed to birth in gravity positions, or
in a side-ways or forwarding sitting
birth position, logical to easier birth for the mother and the child. Often this distress is then
turned into a c-section, an increase of
22 to 25 percent of all births, these days. True emergency births for c-sections were at the 3
to 5 percent prior to 1923.
An commission inquiry on the trends of medical practices, upheld by the various nursing associations,
colleges, and academies,
and societies and Royal Colleges, world wide, is long overdue. One policy by one of these associations
are picked up and
upheld by many others, including the training of medics, ambulance attendants, doulas, and practical
nurses. False teaching then
leads to silence and failure to report abuse to the newborn infant and unnecessary medical malpractice
from being covered-up.
AAP policy has a disclaimer, Pediatrics Volume 104, Number 1 July 1999, pp 116-118.
This disclaimer means the individual medical person takes full responsibility for doing alternative
research, knowing best practice
possible and least risk of harm or endangering for their own making wise decisions, as they hold the
clamp and the knife and
other tools and drugs used during the care and treatment to the woman and child.
I do not know that a medical person stating a policy for medical malpractice would stand up in a Court
of Competent Jurisdiction,
as a defense if the policy is criminally negligent or wanting in information?
How does the person say a gun was held to his/her head to carry out a questionable procedure, or policy
that ought to have been
reported as medical malpractice. The policy that if properly represented as to what was
missing lacked common sense that
indicates it is wrong, and can be seen wrong by the measuring out of the placenta of the deprived blood
to the owner/infant? That
all such matters can be witnessed for any kind of birth, vaginal or a c-section birth.
Personal accountability is what the Courts look for in fact finding. Therefore, any medical
malpractice by policy, even if the entire
membership of an Academy, College, Society, Association are directing medical malpractice policies or
word them so the
public is not being protected, the courts decide on any penalty to the entire membership board, except
to those who dissented
and perhaps cancelled their memberships in such wayward associations and questionable policies.
The Court may deem the membership's silence or failed to give adequate protection to the public as a
criminal violation, willful
negligence.
In Canada, where the public is being endangered, or one member of the community we have Section 180,
and Sections in the
Canadian Criminal Code that deals with bodily harm. These sections are being used in the
current RCMP Blood Force Task to
take charges against some American Doctors and some Canadian Doctors, and the Canadian Red Cross and
an American
Drug Company for their part in the Blood Supply of Canada being at risk and the public not protected. The Canadian Charter of
Rights and Freedoms provides for equal protection and security of person regardless of age, sex, race,
color, or mental or
physical disadvantages, or marital status.
The recommendations in this statement do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate, contact them at:
Medem, Inc.
649 Mission Street, 2nd Floor
San Francisco, CA 94105
Tel: (415)644-3800 | Fax: (415)644-3950 | Email: info@medem.com
- "A number of for-profit companies encourage parents to bank their children's cord blood for their own autologous use or for the allogeneic use of a family member should the need arise.
- There also is no evidence of the safety or effectiveness of autologous cord blood transplantation for the treatment of malignant neoplasms (Table 1). For these reasons, it is difficult to recommend that parents store their children's cord blood for future use.
- The importance of larger numbers of stem cells to the success of engraftment could encourage the attendance at delivery by a physician or other health care personnel to attempt to harvest more cord blood.
- It has been shown that the timing of umbilical cord clamping has an important effect on the neonatal blood volume and the subsequent hematologic status. If cord clamping is done too soon after birth, the infant may be deprived of a placental blood transfusion, resulting in lower blood volume and increased risk for anemia in later life.5 Yao AC, Lind J. Placental Transfusion: A Clinical and Physiological Study. Springfield, IL: Charles C. Thomas; 1982
- Immediate cord clamping will, of course, increase the volume of placental blood for harvesting for cord blood banking. There may be a temptation to practice immediate cord clamping aggressively to increase the volume of cord blood that can be harvested for cord blood banking. This practice is unethical and should be discouraged.
- Although cord blood is currently considered discarded human material, it should not be collected for potential transplantation without the written informed permission of the parents.6 Sugarman J, Kaalund V, Kodish E, et al. Ethical issues in umbilical cord blood banking. JAMA. 1997;278:938-943
- A recipient may want more information or more cells if engraftment was incomplete. All cells collected for blood banking will need to be tested for infectious diseases and for hereditary hematologic diseases before storage.
- Part of the informed consent process must address the issue of what is being tested and how the parents will be informed if test results are abnormal. Because of these unresolved issues, parental permission should be obtained before collection of the samples. Furthermore, because the peripartum period is emotionally stressful, the consent should ideally be obtained during a prenatal visit, and before the onset of labor.
- Philanthropic donation of cord blood for banking at no cost for allogeneic transplantation is encouraged. In such instances, the parents should be informed of the appropriate operational principles recommended for the bank listed herein.
- A policy should be developed regarding disclosing to the parents any abnormal findings in the harvested blood.
- Specific permission for maintaining demographic medical information should be obtained, and the potential risks of breaches of confidentiality disclosed.
- Written permission should be obtained during prenatal care, and before the onset of labor.
- The practice of collecting cord blood first and obtaining permission afterward is considered unethical and should be discouraged.
- Consultation with the institutional review board or hospital ethics committee about recruitment strategies and the wording of consent forms is recommended.
- Cord blood collection should not be done in complicated deliveries, and the cord blood stem cell collection program should not alter routine practice for the timing of umbilical cord clamping.
- Because of the investigational status of cord blood banking and the high risk for its potential abuse, the regulatory agencies (eg, US Food and Drug Administration, Federal Trade Commission, state equivalent of these federal agencies) are encouraged to have an active role in providing oversight for the safety and welfare of the population. "
Complete information by website, is stated below. The full context is available for reading
between the lines to fact find if the
medical duty to the child -- do no harm, is being upheld. Again, the legal owner of the
placenta blood is the child. Since the
child is vulnerable by mental and physical handicaps, at birth, the duty is for "all" adults
to protect the child. All international
declarations of the rights and duty to the child have been ratified by most countries, including Canada
and the United States.
__________________________
Search this www.lotusbirth.com web site for : AAP policy, SOGC policy, ACOG policy; Placenta; Fetus to Neonate Circulation; 30-second clamping; World Health Organization and Dupont ; Circumcision ; Dr. Sarah Buckley's Declaration ; Canadian Criminal Codes and when a baby is a person; and any other subject you may be interested in child birth. Search Lotusbirth
(Reference from Protect Babies
http://www.123-baby-birth.com)
Search at Google this web site for the " No Policies " on equal
protection to babies at from the various government officials who appointed representatives to protect
the public on medical
policies and practices; also the "No policies" of the various medical associations, societies,
and colleges did not live up to no
form of discrimination to women or the child of any kind. It is believed they had a duty to have
a policy of equal protection and
security of person, regardless of: age, mental or physical disadvantages ; race, color, social
or marital status of the pregnant
lady ; or belief or faith of the family, or genetic type of blood sought for by medical researchers,
for stem cell matching, and use of
white cells, mature red cells, platelets, enzymes, hormones, and plasma.
contact: Donna Young, Mother and Grandmother
Home: www.lotusbirth.com
References of research: www.lotusbirth.com/doc/FEB2003Lotusbirth-110.htm
A medical web site to visit:
Note: PETITION www.thepetitionsite.com/takeaction/102580814
Please ask this site to have a Medical Alert Petition Site: petitions@earth.case2.com
