[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,0:00:00.90,0:00:02.99,Default,,0000,0000,0000,,Our next speaker is Dr Philippa Ramsey. Dialogue: 0,0:00:02.99,0:00:05.96,Default,,0000,0000,0000,,Dr Ramsey is an obstetrician and gynaecologist Dialogue: 0,0:00:05.96,0:00:08.41,Default,,0000,0000,0000,,who has been in practice for 20 years. Dialogue: 0,0:00:08.41,0:00:12.20,Default,,0000,0000,0000,,Her speciality is obstetric and gynaecological ultrasound Dialogue: 0,0:00:12.20,0:00:15.58,Default,,0000,0000,0000,,and prenatal diagnosis of fetal abnormalities. Dialogue: 0,0:00:15.58,0:00:17.01,Default,,0000,0000,0000,,She's a visiting medical officer Dialogue: 0,0:00:17.01,0:00:20.60,Default,,0000,0000,0000,,at Royal Prince Alfred Hospital and Sydney Adventist Hospital Dialogue: 0,0:00:20.60,0:00:23.04,Default,,0000,0000,0000,,and she lectures in obstetrics and gynaecology Dialogue: 0,0:00:23.04,0:00:24.89,Default,,0000,0000,0000,,at the University of Sydney. Dialogue: 0,0:00:24.89,0:00:29.30,Default,,0000,0000,0000,,Philippa is an examiner in obstetric and gynaecological ultrasound Dialogue: 0,0:00:29.30,0:00:32.60,Default,,0000,0000,0000,,for the Royal Australia and New Zealand College of O and G Dialogue: 0,0:00:32.60,0:00:34.74,Default,,0000,0000,0000,,and she also runs a busy private practice Dialogue: 0,0:00:34.74,0:00:39.64,Default,,0000,0000,0000,,called Ultrasound Care at Newtown, Randwick, St Leonards and Wahroonga. Dialogue: 0,0:00:39.64,0:00:40.43,Default,,0000,0000,0000,,Welcome Philippa. Dialogue: 0,0:00:40.43,0:00:44.49,Default,,0000,0000,0000,,[applause and footsteps] Dialogue: 0,0:00:57.03,0:00:59.22,Default,,0000,0000,0000,,If you choose that… Dialogue: 0,0:00:59.22,0:01:00.36,Default,,0000,0000,0000,,Where do we have Philippa's—? Dialogue: 0,0:01:00.36,0:01:02.98,Default,,0000,0000,0000,,[inaudible] Dialogue: 0,0:01:03.19,0:01:04.97,Default,,0000,0000,0000,,Removable. Dialogue: 0,0:01:33.53,0:01:33.53,Default,,0000,0000,0000,,This one? Dialogue: 0,0:01:33.53,0:01:33.53,Default,,0000,0000,0000,,Yep. Just check that. Dialogue: 0,0:01:33.53,0:01:33.53,Default,,0000,0000,0000,,[inaudible] Dialogue: 0,0:01:33.53,0:01:33.53,Default,,0000,0000,0000,,OK, great. Dialogue: 0,0:01:33.53,0:01:33.53,Default,,0000,0000,0000,,[footsteps] Dialogue: 0,0:01:33.53,0:01:33.54,Default,,0000,0000,0000,,[cough in audience] Dialogue: 0,0:01:33.54,0:01:33.54,Default,,0000,0000,0000,,Thank you everybody for coming tonight. Dialogue: 0,0:01:33.54,0:01:33.54,Default,,0000,0000,0000,,I'm really heartened by the level of interest Dialogue: 0,0:01:33.54,0:01:33.54,Default,,0000,0000,0000,,in this really important topic. Dialogue: 0,0:01:33.54,0:01:33.54,Default,,0000,0000,0000,,And I want to thank you for inviting me to speak Dialogue: 0,0:01:33.54,0:01:33.54,Default,,0000,0000,0000,,except I have to admit that I haven't been invited to speak Dialogue: 0,0:01:33.54,0:01:33.54,Default,,0000,0000,0000,,I volunteered to speak because I feel so strongly about this. Dialogue: 0,0:01:34.11,0:01:38.34,Default,,0000,0000,0000,,So, uh, how do I go down? Dialogue: 0,0:01:42.36,0:01:45.12,Default,,0000,0000,0000,,So first of all I want to pay due respect Dialogue: 0,0:01:45.12,0:01:47.66,Default,,0000,0000,0000,,to those who have been the victims of crime Dialogue: 0,0:01:47.66,0:01:51.15,Default,,0000,0000,0000,,and to those who've lost their babies or miscarried their pregnancies Dialogue: 0,0:01:51.15,0:01:54.14,Default,,0000,0000,0000,,and who are still mourning them. Dialogue: 0,0:01:54.14,0:01:56.13,Default,,0000,0000,0000,,This talk is not about that. Dialogue: 0,0:01:56.13,0:01:58.88,Default,,0000,0000,0000,,I want to talk about the issues I have Dialogue: 0,0:01:58.88,0:02:02.36,Default,,0000,0000,0000,,with the proposed fetal personhood laws Dialogue: 0,0:02:02.36,0:02:05.55,Default,,0000,0000,0000,,and how it would change maternity provision Dialogue: 0,0:02:05.55,0:02:07.16,Default,,0000,0000,0000,,in this state and how it would impact Dialogue: 0,0:02:07.16,0:02:09.78,Default,,0000,0000,0000,,upon obstetricians and midwives Dialogue: 0,0:02:09.78,0:02:13.56,Default,,0000,0000,0000,,and the patients we look after. Dialogue: 0,0:02:13.56,0:02:15.60,Default,,0000,0000,0000,,So, I'll start with the small things. Dialogue: 0,0:02:15.60,0:02:18.73,Default,,0000,0000,0000,,First of all, I really disagree with the terminology. Dialogue: 0,0:02:18.73,0:02:22.30,Default,,0000,0000,0000,,Obstetricians and midwives are completely unanimous Dialogue: 0,0:02:22.30,0:02:26.22,Default,,0000,0000,0000,,about the words embryo, fetus and baby. Dialogue: 0,0:02:26.22,0:02:29.52,Default,,0000,0000,0000,,We call— we use embryo up until 10 weeks gestation, Dialogue: 0,0:02:29.52,0:02:32.53,Default,,0000,0000,0000,,which is 8 weeks of fetal development. Dialogue: 0,0:02:32.53,0:02:35.29,Default,,0000,0000,0000,,We use fetus after that, from 10 weeks until birth. Dialogue: 0,0:02:35.29,0:02:37.35,Default,,0000,0000,0000,,And after that until one year of age Dialogue: 0,0:02:37.35,0:02:40.83,Default,,0000,0000,0000,,we call the baby a baby. Dialogue: 0,0:02:40.83,0:02:44.14,Default,,0000,0000,0000,,And, uh, too, I've got to say, Dialogue: 0,0:02:44.14,0:02:46.44,Default,,0000,0000,0000,,obstetricians and midwives agree with that, Dialogue: 0,0:02:46.44,0:02:48.18,Default,,0000,0000,0000,,embryologists agree with that, Dialogue: 0,0:02:48.18,0:02:50.66,Default,,0000,0000,0000,,and even Wikipedia agrees with that. Dialogue: 0,0:02:50.66,0:02:51.86,Default,,0000,0000,0000,,[laughter] Dialogue: 0,0:02:51.86,0:02:57.49,Default,,0000,0000,0000,,So, uh, to rename the fetus an unborn baby Dialogue: 0,0:02:57.49,0:02:59.73,Default,,0000,0000,0000,,is really messing with our heads. Dialogue: 0,0:02:59.73,0:03:06.58,Default,,0000,0000,0000,,So the proposed law calls this, sorry, an "unborn child" from 20 weeks gestation on. Dialogue: 0,0:03:06.58,0:03:09.94,Default,,0000,0000,0000,,And I guess it's going to be a fetus before that. Dialogue: 0,0:03:09.94,0:03:14.38,Default,,0000,0000,0000,,But uh, this new label "unborn child" really messes with my head. Dialogue: 0,0:03:14.38,0:03:16.56,Default,,0000,0000,0000,,I think that the milestones of birth and death Dialogue: 0,0:03:16.56,0:03:19.84,Default,,0000,0000,0000,,are really clear and really unambiguous. Dialogue: 0,0:03:19.84,0:03:25.08,Default,,0000,0000,0000,,But if we rename the ch— the fetus to be Dialogue: 0,0:03:25.08,0:03:27.63,Default,,0000,0000,0000,,an "unborn child" it's as silly as Dialogue: 0,0:03:27.63,0:03:30.53,Default,,0000,0000,0000,,calling a newborn baby a "born fetus". Dialogue: 0,0:03:30.53,0:03:31.53,Default,,0000,0000,0000,,Or deciding that from now on Dialogue: 0,0:03:31.53,0:03:34.37,Default,,0000,0000,0000,,I want to be known as a "live corpse". Dialogue: 0,0:03:34.37,0:03:35.59,Default,,0000,0000,0000,,[laughter] Dialogue: 0,0:03:35.59,0:03:36.100,Default,,0000,0000,0000,,I just think it's, uh, Dialogue: 0,0:03:36.100,0:03:40.31,Default,,0000,0000,0000,,ridiculous and it just confuses, uh, Dialogue: 0,0:03:40.31,0:03:42.64,Default,,0000,0000,0000,,it confuses the issue. Dialogue: 0,0:03:42.64,0:03:45.63,Default,,0000,0000,0000,,But I understand the reason behind the new label. Dialogue: 0,0:03:45.63,0:03:50.33,Default,,0000,0000,0000,,Uh, because obviously, the phrase "unborn child" Dialogue: 0,0:03:50.33,0:03:52.25,Default,,0000,0000,0000,,is an elevation in status. Dialogue: 0,0:03:52.25,0:03:55.48,Default,,0000,0000,0000,,It's a promotion from fetus. Dialogue: 0,0:03:55.48,0:03:58.69,Default,,0000,0000,0000,,And this new label implies that this fetus Dialogue: 0,0:03:58.69,0:04:00.65,Default,,0000,0000,0000,,warrants the status of parenthood, Dialogue: 0,0:04:00.65,0:04:04.96,Default,,0000,0000,0000,,sorry, personhood, as if it's independent of the pregnant woman, Dialogue: 0,0:04:04.96,0:04:07.15,Default,,0000,0000,0000,,as if it's separate from the pregnant woman. Dialogue: 0,0:04:07.15,0:04:09.30,Default,,0000,0000,0000,,And I can promise you, Dialogue: 0,0:04:09.30,0:04:10.74,Default,,0000,0000,0000,,I've been an obstetrician for a long time, Dialogue: 0,0:04:10.74,0:04:12.84,Default,,0000,0000,0000,,and I can promise you that a fetus is Dialogue: 0,0:04:12.84,0:04:16.60,Default,,0000,0000,0000,,not independent and separate from the pregnant woman. Dialogue: 0,0:04:16.60,0:04:19.26,Default,,0000,0000,0000,,And I want to talk about three issues: Dialogue: 0,0:04:19.26,0:04:21.05,Default,,0000,0000,0000,,of pregnant women's lifestyles, Dialogue: 0,0:04:21.05,0:04:23.58,Default,,0000,0000,0000,,pregnant women's right to consent Dialogue: 0,0:04:23.58,0:04:26.33,Default,,0000,0000,0000,,to medical or surgical treatment for fetal conditions, Dialogue: 0,0:04:26.33,0:04:31.56,Default,,0000,0000,0000,,and the issues again of termination of pregnancy. Dialogue: 0,0:04:31.56,0:04:33.11,Default,,0000,0000,0000,,Just look at the picture. Dialogue: 0,0:04:33.11,0:04:34.64,Default,,0000,0000,0000,,The fetus is not independent Dialogue: 0,0:04:34.64,0:04:36.96,Default,,0000,0000,0000,,and separate from the pregnant woman. Dialogue: 0,0:04:36.96,0:04:39.50,Default,,0000,0000,0000,,And research shows that 1 in 7 Australian women Dialogue: 0,0:04:39.50,0:04:42.25,Default,,0000,0000,0000,,keeps smoking during pregnancy, Dialogue: 0,0:04:42.25,0:04:46.84,Default,,0000,0000,0000,,even though their health carers explain to them Dialogue: 0,0:04:46.84,0:04:48.75,Default,,0000,0000,0000,,that it is not good for the fetus, Dialogue: 0,0:04:48.75,0:04:51.39,Default,,0000,0000,0000,,that it causes fetal interuterine growth restriction, Dialogue: 0,0:04:51.39,0:04:55.38,Default,,0000,0000,0000,,that it increases the risk of stillbirth and neonatal problems, Dialogue: 0,0:04:55.38,0:04:58.20,Default,,0000,0000,0000,,even with all the knowledge in the world, Dialogue: 0,0:04:58.20,0:05:01.71,Default,,0000,0000,0000,,1 in 7 Australian women keeps smoking during pregnancy Dialogue: 0,0:05:01.71,0:05:05.04,Default,,0000,0000,0000,,because they are addicted. Dialogue: 0,0:05:05.04,0:05:08.28,Default,,0000,0000,0000,,And what about pregnant women who are addicted to illict drugs? Dialogue: 0,0:05:08.28,0:05:09.96,Default,,0000,0000,0000,,Or addicted to alcohol? Dialogue: 0,0:05:09.96,0:05:12.02,Default,,0000,0000,0000,,What about the pregnant woman who still Dialogue: 0,0:05:12.02,0:05:15.25,Default,,0000,0000,0000,,eats sushi and salami and pre-mixed salad Dialogue: 0,0:05:15.25,0:05:17.95,Default,,0000,0000,0000,,even though we advise them not to. Dialogue: 0,0:05:17.95,0:05:19.29,Default,,0000,0000,0000,,I can see you out there. Dialogue: 0,0:05:19.29,0:05:20.51,Default,,0000,0000,0000,,[laughter] Dialogue: 0,0:05:20.51,0:05:24.38,Default,,0000,0000,0000,,We know that this food might or could possibly harm the fetus Dialogue: 0,0:05:24.38,0:05:26.42,Default,,0000,0000,0000,,and still, it's not that easy. Dialogue: 0,0:05:26.42,0:05:29.89,Default,,0000,0000,0000,,We don't universally stop all behaviours Dialogue: 0,0:05:29.89,0:05:31.62,Default,,0000,0000,0000,,which could adversely affect the fetus Dialogue: 0,0:05:31.62,0:05:32.67,Default,,0000,0000,0000,,when we're pregnant. Dialogue: 0,0:05:32.67,0:05:35.39,Default,,0000,0000,0000,,Even though it may be a very wanted pregnancy Dialogue: 0,0:05:35.39,0:05:40.48,Default,,0000,0000,0000,,and a beloved fetus and beloved baby. Dialogue: 0,0:05:40.48,0:05:42.68,Default,,0000,0000,0000,,So if there is an adverse outcome, Dialogue: 0,0:05:42.68,0:05:45.51,Default,,0000,0000,0000,,the proposed law labels it, you know, Dialogue: 0,0:05:45.51,0:05:50.25,Default,,0000,0000,0000,,harming the fetus, grievous bodily harm to the unborn baby. Dialogue: 0,0:05:50.25,0:05:54.08,Default,,0000,0000,0000,,And it would be a criminal act under the proposed legislation, Dialogue: 0,0:05:54.08,0:05:56.12,Default,,0000,0000,0000,,except for a tiny exception, Dialogue: 0,0:05:56.12,0:06:01.22,Default,,0000,0000,0000,,and that is that it's OK for the pregnant woman to do it. Dialogue: 0,0:06:01.22,0:06:03.96,Default,,0000,0000,0000,,And when it comes to fetal procedures, Dialogue: 0,0:06:03.96,0:06:07.11,Default,,0000,0000,0000,,the fetus is clearly not independent and separate Dialogue: 0,0:06:07.11,0:06:09.01,Default,,0000,0000,0000,,from the pregnant woman. Dialogue: 0,0:06:09.01,0:06:10.92,Default,,0000,0000,0000,,Under those blue drapes Dialogue: 0,0:06:10.92,0:06:14.86,Default,,0000,0000,0000,,there are living breathing anaethetised women Dialogue: 0,0:06:14.86,0:06:20.56,Default,,0000,0000,0000,,who are allowing their body to be operating upon and traversed Dialogue: 0,0:06:20.56,0:06:23.94,Default,,0000,0000,0000,,to benefit their fetus. Dialogue: 0,0:06:23.94,0:06:28.62,Default,,0000,0000,0000,,Not to benefit them. Dialogue: 0,0:06:28.62,0:06:34.18,Default,,0000,0000,0000,,So if a paediatrician or a husband Dialogue: 0,0:06:34.18,0:06:37.34,Default,,0000,0000,0000,,wants a Caesearan section for this fetus Dialogue: 0,0:06:37.34,0:06:43.14,Default,,0000,0000,0000,,it has to be through the body of that pregnant woman. Dialogue: 0,0:06:43.14,0:06:47.49,Default,,0000,0000,0000,,So it would be great if fetal rights were Dialogue: 0,0:06:47.49,0:06:50.19,Default,,0000,0000,0000,,completely independent of women's rights. Dialogue: 0,0:06:50.19,0:06:52.85,Default,,0000,0000,0000,,And I love this graph, which I found on the Internet, Dialogue: 0,0:06:52.85,0:06:55.88,Default,,0000,0000,0000,,that shows the ideal situation. Dialogue: 0,0:06:55.88,0:06:57.47,Default,,0000,0000,0000,,Wouldn't it be great if the pregnant woman Dialogue: 0,0:06:57.47,0:07:00.54,Default,,0000,0000,0000,,had 100% of all of her pre-pregnant rights Dialogue: 0,0:07:00.54,0:07:02.40,Default,,0000,0000,0000,,continuing right through the pregnancy Dialogue: 0,0:07:02.40,0:07:05.25,Default,,0000,0000,0000,,despite the fact that some would like Dialogue: 0,0:07:05.25,0:07:09.25,Default,,0000,0000,0000,,to give the fetus the rights of personhood Dialogue: 0,0:07:09.25,0:07:15.71,Default,,0000,0000,0000,,in the third trimester or any time after 20 weeks gestation. Dialogue: 0,0:07:15.71,0:07:20.60,Default,,0000,0000,0000,,That the rights of the fetus should increase with gestational age. Dialogue: 0,0:07:20.60,0:07:22.16,Default,,0000,0000,0000,,But unfortunately this graph is Dialogue: 0,0:07:22.16,0:07:26.85,Default,,0000,0000,0000,,uh, a dream. Dialogue: 0,0:07:26.85,0:07:30.46,Default,,0000,0000,0000,,If a fetus has personhood, it has rights Dialogue: 0,0:07:30.46,0:07:32.59,Default,,0000,0000,0000,,equal to those of the pregnant woman Dialogue: 0,0:07:32.59,0:07:36.90,Default,,0000,0000,0000,,so for example if a paediatrician was advocating for the fetus Dialogue: 0,0:07:36.90,0:07:39.33,Default,,0000,0000,0000,,he may recommend that the obstetrician Dialogue: 0,0:07:39.33,0:07:41.82,Default,,0000,0000,0000,,perform a procedure on the fetus. Dialogue: 0,0:07:41.82,0:07:43.53,Default,,0000,0000,0000,,But as I've mentioned, it has to be via Dialogue: 0,0:07:43.53,0:07:45.33,Default,,0000,0000,0000,,the pregnant woman's body. Dialogue: 0,0:07:45.33,0:07:49.22,Default,,0000,0000,0000,,If the pregnant woman listens to all of the medical advice Dialogue: 0,0:07:49.22,0:07:51.21,Default,,0000,0000,0000,,and considers all of the evidence Dialogue: 0,0:07:51.21,0:07:53.03,Default,,0000,0000,0000,,and considers the impact on the fetus Dialogue: 0,0:07:53.03,0:07:55.76,Default,,0000,0000,0000,,and considers the impact on herself Dialogue: 0,0:07:55.76,0:07:58.76,Default,,0000,0000,0000,,and decides she doesn't want this procedure, Dialogue: 0,0:07:58.76,0:08:02.76,Default,,0000,0000,0000,,whose rights are going to be preeminent? Dialogue: 0,0:08:05.27,0:08:11.56,Default,,0000,0000,0000,,This fetus may want an operation on itself Dialogue: 0,0:08:11.56,0:08:14.80,Default,,0000,0000,0000,,or someone advocating for this so-called person Dialogue: 0,0:08:14.80,0:08:18.16,Default,,0000,0000,0000,,might want an operation on the fetus Dialogue: 0,0:08:18.16,0:08:25.68,Default,,0000,0000,0000,,um, but it has to be done through the mother. Dialogue: 0,0:08:25.68,0:08:30.40,Default,,0000,0000,0000,,So in reality if the fetus's rights increase Dialogue: 0,0:08:30.40,0:08:34.44,Default,,0000,0000,0000,,after 20 weeks gestation because it's been elevated to personhood Dialogue: 0,0:08:34.44,0:08:37.41,Default,,0000,0000,0000,,then by definition the mother's rights Dialogue: 0,0:08:37.41,0:08:39.46,Default,,0000,0000,0000,,to say no to these things Dialogue: 0,0:08:39.46,0:08:42.21,Default,,0000,0000,0000,,which may be beneficial for the fetus Dialogue: 0,0:08:42.21,0:08:46.65,Default,,0000,0000,0000,,by definition the mother's rights have to decrease. Dialogue: 0,0:08:46.65,0:08:48.74,Default,,0000,0000,0000,,But I feel that women must have the right Dialogue: 0,0:08:48.74,0:08:52.28,Default,,0000,0000,0000,,to choose what will or won't be done to their body. Dialogue: 0,0:08:52.28,0:08:55.69,Default,,0000,0000,0000,,Women must be the gatekeepers of their own body. Dialogue: 0,0:08:55.69,0:09:00.84,Default,,0000,0000,0000,,I mean we have been struggling for that for centuries. Dialogue: 0,0:09:00.84,0:09:02.65,Default,,0000,0000,0000,,And many women in many countries Dialogue: 0,0:09:02.65,0:09:05.96,Default,,0000,0000,0000,,are still not the gatekeepers of their own body. Dialogue: 0,0:09:05.96,0:09:10.66,Default,,0000,0000,0000,,They are still subject to rape in marriage, as an example. Dialogue: 0,0:09:10.66,0:09:12.60,Default,,0000,0000,0000,,And it's not illegal. Dialogue: 0,0:09:12.60,0:09:14.96,Default,,0000,0000,0000,,So I don't think we can get away from the fact Dialogue: 0,0:09:14.96,0:09:17.55,Default,,0000,0000,0000,,that conferring personhood on a fetus Dialogue: 0,0:09:17.55,0:09:22.73,Default,,0000,0000,0000,,impacts on the rights of the pregnant woman over her own body. Dialogue: 0,0:09:22.73,0:09:25.16,Default,,0000,0000,0000,,So what about when a pregnant woman Dialogue: 0,0:09:25.16,0:09:30.83,Default,,0000,0000,0000,,has a fetus who's found to have a lethal abnormality? Dialogue: 0,0:09:30.83,0:09:33.65,Default,,0000,0000,0000,,An abnormality that is going to lead to the death of that fetus, Dialogue: 0,0:09:33.65,0:09:37.52,Default,,0000,0000,0000,,either as a fetal demise in utero, a stillbirth, Dialogue: 0,0:09:37.52,0:09:42.77,Default,,0000,0000,0000,,or a fetal death during labour or soon after labour. Dialogue: 0,0:09:42.77,0:09:48.85,Default,,0000,0000,0000,,Or a pregnant woman whose fetus has a major fetal abnormality. Dialogue: 0,0:09:48.85,0:09:51.64,Default,,0000,0000,0000,,I counsel lots of women and their partners Dialogue: 0,0:09:51.64,0:09:55.65,Default,,0000,0000,0000,,in this situation every week. Dialogue: 0,0:09:55.65,0:09:58.89,Default,,0000,0000,0000,,And unfortunately there are really only two options. Dialogue: 0,0:09:58.89,0:10:01.14,Default,,0000,0000,0000,,The option to continue the pregnancy Dialogue: 0,0:10:01.14,0:10:04.42,Default,,0000,0000,0000,,or the option to terminate the pregnancy. Dialogue: 0,0:10:04.42,0:10:07.70,Default,,0000,0000,0000,,Fetal medicine has come a long way Dialogue: 0,0:10:07.70,0:10:14.44,Default,,0000,0000,0000,,but— and it's certainly come a long way with diagnostic tricks. Dialogue: 0,0:10:14.44,0:10:16.95,Default,,0000,0000,0000,,So we are now very good at diagnosing Dialogue: 0,0:10:16.95,0:10:19.70,Default,,0000,0000,0000,,all sorts of fetal abnormalities and Dialogue: 0,0:10:19.70,0:10:24.20,Default,,0000,0000,0000,,we know most of the prognoses for most of them. Dialogue: 0,0:10:24.20,0:10:26.12,Default,,0000,0000,0000,,But unfortunately fetal medicine hasn't Dialogue: 0,0:10:26.12,0:10:28.33,Default,,0000,0000,0000,,progressed to the stage where Dialogue: 0,0:10:28.33,0:10:31.80,Default,,0000,0000,0000,,some sort of fancy in utero treatment Dialogue: 0,0:10:31.80,0:10:33.64,Default,,0000,0000,0000,,is going to save lots of lives Dialogue: 0,0:10:33.64,0:10:35.60,Default,,0000,0000,0000,,or relieve lots of suffering. Dialogue: 0,0:10:35.60,0:10:40.03,Default,,0000,0000,0000,,There are actually very few fetal interventions Dialogue: 0,0:10:40.03,0:10:42.79,Default,,0000,0000,0000,,for major fetal abnormalities Dialogue: 0,0:10:42.79,0:10:45.10,Default,,0000,0000,0000,,and most of the lethal fetal abnormalities Dialogue: 0,0:10:45.10,0:10:49.10,Default,,0000,0000,0000,,are still lethal.