Could we take babies before they are born and test to see how they'll look and if they'll be healthy?

The short answer to your question is no, we can't really test for looks or even complete health. But, during a pregnancy, we can test for certain DNA problems – whether there is the wrong number of chromosomes, or if there is evidence of the presence of a specific inherited disease. But, even if the results come back normal, this is still not a guarantee for perfect health.

There is a technique called Preimplantation Genetic Diagnosis (PGD), where individual embryonic cells are tested. This is used after in vitro fertilization (IVF) where conception occurs outside the body and then the embryo's cells divide before being placed into the prospective mom's uterus. Genetic tests can be done on some of these cells before the others are implanted. But currently, we need to know what we're testing for (whether its for the correct number of chromosomes, or whether its for an inherited disorder like Tay Sachs, Muscular Dystrophy, or sickle cell anemia); there's no standard panel of things to check. This, as you can imagine, makes it hard to rule out all kinds of things that could be considered “unhealthy” by the parents.

And, ethically, where do you draw the line? Is it considered “unhealthy” to look more like George Clooney than Brad Pitt? Does that then mean that all of us that look like Clooney are disadvantaged? I say absolutely not! After all, I'm obvious proof that you can still lead a full, productive life being just really good looking, instead of really, really good looking. Right? :)

What would you test for prenatally?

Check out these predictive testing articles – Screening Embryos for Genetic Disease and Prenatal Testing; A Case Study– for more information.

Glossary terms:


June 2007