Journal of Medical Ethics 38 (10):614-618 (2012)
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Abstract |
Recent scientific advances mean the widespread introduction of non-invasive prenatal diagnosis (NIPD) for chromosomal aneuploidies may be close at hand, raising the question of how NIPD should be introduced as part of antenatal care pathways for pregnant women. In this paper, the authors examine the ethical implications of three hypothetical models for using NIPD for aneuploidy in state-funded healthcare systems and assess which model is ethically preferable. In comparing the models, the authors consider their respective timings; how each model would fit with current screening and diagnostic tests offered to pregnant women; the implications of offering NIPD at different stages of pregnancy; and the potential for each model to support reproductive autonomy and informed decision-making. The authors conclude by favouring a model that would be offered at 11–13 weeks gestation, alongside existing combined screening, provided that this is accompanied by measures to maximise informed decision-making, for example, provision of adequate pretest and post-test counselling
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DOI | 10.1136/medethics-2011-100180 |
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References found in this work BETA
Challenging the Rhetoric of Choice in Prenatal Screening.Victoria Seavilleklein - 2009 - Bioethics 23 (1):68-77.
Should Non-Invasiveness Change Informed Consent Procedures for Prenatal Diagnosis?Zuzana Deans & Ainsley J. Newson - 2011 - Health Care Analysis 19 (2):122-132.
'You Don't Make Genetic Test Decisions From One Day to the Next' – Using Time to Preserve Moral Space.Jackie Leach Scully, Rouven Porz & Christoph Rehmann-Sutter - 2007 - Bioethics 21 (4):208–217.
Citations of this work BETA
Women’s Perspectives on the Ethical Implications of Non-Invasive Prenatal Testing: A Qualitative Analysis to Inform Health Policy Decisions.Meredith Vanstone, Alexandra Cernat, Jeff Nisker & Lisa Schwartz - 2018 - BMC Medical Ethics 19 (1):27.
Noninvasive Prenatal Testing: Views of Canadian Pregnant Women and Their Partners Regarding Pressure and Societal Concerns.Vardit Ravitsky, Stanislav Birko, Jessica Le Clerc-Blain, Hazar Haidar, Aliya O. Affdal, Marie-Ève Lemoine, Charles Dupras & Anne-Marie Laberge - 2021 - AJOB Empirical Bioethics 12 (1):53-62.
Chromosome Screening Using Noninvasive Prenatal Testing Beyond Trisomy-21: What to Screen for and Why It Matters.Kristien Hens - 2018 - Journal of Medicine and Philosophy 43 (1):8-21.
What Is “NIPT”? Divergent Characterizations of Noninvasive Prenatal Testing Strategies.Meredith Vanstone, Karima Yacoub, Shawn Winsor, Mita Giacomini & Jeff Nisker - 2015 - Ajob Empirical Bioethics 6 (1):54-67.
Ethical Concerns in the Implementation of DNA Sequencing-Based Noninvasive Prenatal Testing for Fetal Aneuploidy Among Obstetric Professionals in Hong Kong.Huso Yi, Olivia Miu Yung Ngan, Sian Griffiths & Daljit Sahota - 2015 - Ajob Empirical Bioethics 6 (1):81-93.
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