DrGreene Content
Hello Doc, Is there any way of determining the father of a child before it is born?
Jamaica

Having a baby is a lifelong responsibility and hopefully an even greater reward -- for somebody! As a mother's belly swells, she knows with deep certainty that the child is hers. Each time the baby moves or kicks, the bond between her and her child grows.
Depending on the situation, the father may be pretty sure that the child is his. For most of history, though, dads have had to rely on circumstantial evidence as the foundation on which to build this crucial relationship. After the baby was born, he could feel more sure he was the dad if the baby looked like him ("He has your feet, Honey!"), but often these early resemblances are at least partially creative imaginations.
In 1901 biologist Karl Landsteiner distinguished between three types of blood -- groups A, B, and O. A fourth group -- AB -- was discovered a year later by another research team. As the inheritance patterns of these blood groups were worked out over the next decades, it became possible to use blood tests to exclude some men from being the fathers of some children. For instance, if the parents both have blood type O, then the children must all have blood type O. If a child were to have blood type A, B, or AB, then the presumed father must not be the real father. If the child's blood type were O, then the presumed father might be the real father -- but so might millions of other men. Here is a list of possible and impossible situations:
Parents' Blood Types
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Possible Children
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Impossible Children
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A & A
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A, O
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B, AB
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A & B
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A, B, AB, O
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none
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A & AB
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A, B, AB
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O
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A & O
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A, O
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B, AB
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B & B
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B, O
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A, AB
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B & AB
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A, B, AB
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O
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B & O
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B, O
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A, AB
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AB &AB
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A, B, AB
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O
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AB & O
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A, B
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AB, O
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O & O
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O
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A, B, AB
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Today there are over 600 blood types known (as well as other tissue
types called HLA types), which can make paternity testing far more
accurate -- but still not perfect.
It is also now possible to determine the father before a baby is born.
This is done by comparing DNA molecules -- our genetic blueprints. To
do this you need a blood sample from both the mother and the potential
father (testing without the mother's blood is possible, but more
difficult -- and more expensive). You also need a small sample of
amniotic fluid (the water that the baby is floating in). Less than 1/4
teaspoon is sufficient for the test. The amniotic fluid may be obtained
by a process called amniocentesis. This procedure is performed no earlier than 13 weeks into the pregnancy.
A court order or informed consent of all adults involved is required to proceed with paternity testing.
You will need to wait 3 to 4 long weeks for the results. Waiting for
these test results can be a very anxious time. Rush orders take 10 to
15 business days, but cost about $500 extra.
Either way, if the test says that you are not the father, then you
legally and truly are not (it can absolutely exclude some men as the
father of a certain child). If the test says that you are the father,
then you probably are -- there is about a 99.8% chance that you are.
DNA testing is now legally accepted as able to determine paternity.
There are about one million two hundred eighteen thousand five hundred
males in Jamaica (as of 1992). A positive DNA paternity test could
limit the potential fathers to only about 24,370 of them (plus 0.2% of
the tourists). Only 2 out of 1000 men could possibly be the father. As
you can see, a positive paternity test is good evidence, but not an
ironclad guarantee.
Prenatal paternity testing can be arranged through a company called
Genelex, located in Seattle, Washington. They are very helpful, and can
be reached at 1.800.523.6487. The test costs $700.
If you wait until after the baby is born, DNA testing can be arranged
through most local blood banks (many of which use Genelex). The blood
sample can be obtained at birth. Otherwise, the baby should be at least
2 months old, since a fair amount of blood is needed for the test. In
my area, this option costs about $600.
I realize that the circumstances that prompt a person to undergo
paternity testing are often difficult. I hope that whatever you want
turns out to be true. Even more, I hope that whatever turns out to be
true becomes something that you learn to want.
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