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SIAMESE TWINS-JODIE &MARY
Topic for discussion

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Jodie and Mary
Separate or not?
An anonymous couple from Malta traveled to England this past year for a complicated delivery of their Siamese twin daughters, Jodie and Mary, who were born on August 8,2000,joined at the abdomen and with fused spine. Doctors soon determined that unless the twins were surgically separated both would die. Mary, the waeker twin, whose brain was underdeveloped, would never be able to survive separated from Jodie. Jodie, who was strong and aler, had an 80%-90% chance of dying if surgery was not performed. She had a good chance of surviving in the event of surgery,although, in all likelihood she would be severely handicapped and need medical attention throughout her life.In similar cases in the past, the surviving twin has sometimes died within six months of surgery. In other cases, neither twin survives. The medical team at St Mary's Hospital, to which the twins were taken had never done a successful separation of Siamese Twins. When the medical team suggested surgical separation, the Parents, who were Roman Catholic, refused on religious and moral grounds to give their consent. The Hospital went to court pleading that life-saving surgery was in Jodie's best interest, and that saving one of the twins would be morally preferable to losing both. The presiding judge acknowledged the court's duty 'to put the welfare of each child paramount', but nonethless, concluded that Jodie's right to live outweighed Mary's, thus ruling in favor of the Hospital.

Ethical issues

These are the ethical questions that we have come up with to facilitate in our opinion writing pertaining to the case of Jodie and Mary

Q1. Is there an ethical right to separation ?
Q2. Is it morally permissible to let both infants die?
Q3. Does distributive justice play a role in the separation of conjoined twins with multiple anomalies ?


What's Siamese Twins?


Siamese Twins also known as Conjoined twins which are monozygotic multiples that do not fully separate from each other due to the incomplete division of the fertilized ovum. The individuals will be connected at certain points of the body, and may share tissue, organs or limbs. A rare phenomenon, the occurrence is estimated to range from 1 in 50,000 births to 1 in 200,000 births, with a somewhat higher incidence in Southwest Asia and Africa.Approximately half are stillborn, and a smaller fraction of pairs born alive have abnormalities incompatible with life. The overall survival rate for conjoined twins is approximately 25%. The condition is more frequently found among females, with a ratio of 3:1.

More info


why called SIAMESE TWINS?

Famed twins, Chang and Eng Bunker, were born in Siam (now Thailand) in the early 1800's, although they eventually settled in the United States. As they traveled the world, they became known as "the Siamese twins."
While they were the first conjoined twins whose medical history was documented, they were not the first set of conjoined twins. Records reference a set of conjoined boys living in Constantinople in 945 A.D. Another well-known set, Mary and Eliza Chulkhurst, lived in England in the twelth century.

Comments

Take your stand and voice out your opinion, visitors are welcomed to tag your opinions regarding Siamese Twins ( The current topic for discussion is JODIE AND MARY)



News Update


behind the scene

The stories of Siamese Twins
Their lives are not strange but
but tougher than anyone of us.

Faith and Hope [1]
Faith and Hope [2]
Kendra and Maliyah
Lea and Tabea [1]
Lea and Tabea [2]
Abigail and Brittany [1]
Abigail and Brittany [2]
Abigail and Brittany [3]
Abigail and Brittany [4]
Abigail and Brittany [5]
Conjoined Twins


Archives

June 2009

Acknowledgements

Layout: Kary-yan/Missyan.
Conjoined Twins FAQ
Wikipedia



Wednesday, June 17, 2009

DIFFERENT TYPES OF CONJOINED TWINS



Conjoined twins are usually classified by the point at which they are joined (the Greek word pagos , meaning "that which is fixed.") There have been as many as three dozen separate types identified in the last century. The following basic classifications can be combined to more closely define individual cases.

  1. Conjunction never involving heart or umbilicus
    • Craniopagus: Cranial union only, about 2% of all conjoined twins.
    • Pygopagus. Posterior union of the rump, about 19% of all conjoined twins.
  2. Conjunctions Always involving the Umbilicus (Midline Conjunctions)
    • Thoracopagus: Anterior union of the upper half of the trunk. The most common form of conjoined twins (about 35%), it always involves sharing the heart.
    • Cephalopagus: Anterior union of the upper half of the body with two faces on opposite sides of a conjoined head. Extremely rare. The heart is sometimes involved. A combination of types 3 and 4 is calledepholothoracopagus.
    • Parapagus (sometimes called diprosopus): lateral union of the lower half, extending variable distances upward, about 5% of all conjoined twins. Heart sometimes involved.
    • Ischopagus: Anterior union of the lower half of the body, about 6% of all conjoined twins. Heart not involved.
    • Omphalopagus: Anterior union of the midtrunk, about 30% of conjoined twins.
  3. Rare forms of conjoined twins, having different patterns.
    • Parasitic twins: Asymmetrical conjoined twins, one twin being small, less formed, and dependent upon the other.
    • Fetus in fetu: Situation in which an imperfect fetus is contained completely within the body of its sibling.
    • http://zygote.swarthmore.edu/cleave4a.html


♥ love life and live life with dignity... 10:57:00 PM