Making use of non-invasive prenatal testing (NIPT): rethinking issues of routinization and pressure.
J Perinat Med
; 49(8): 959-964, 2021 Oct 26.
Article
em En
| MEDLINE
| ID: mdl-34469636
ABSTRACT
First mapping the main ethical issues surrounding prenatal testing, we then analyze which concerns are specific to non-invasive methods. Presupposing the privatization premise for reproductive autonomy in fundamentally liberal societies, we go on to specify common concerns about non-invasive prenatal testing (NIPT) covered by the term 'routinization', and conceptually unravel the frequently expressed worry of increasing 'pressure' to test and/or terminate affected pregnancies. We argue that mindful decision-making should be a key educational goal (not only) of NIPT counseling which could be achieved through stepwise disclosure. In addition, we identify indirect social pressure as the most plausible threat to reproductive freedom. While continuous efforts need to be made to prevent such pressure - not least by ensuring balanced availability of options -, restricting testing options, and thus freedom of choice, cannot be the answer to this concern. Lastly, we suggest abandoning the vague term 'routinization' and instead focusing on specified concerns to enable a fruitful debate.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Testes Diagnósticos de Rotina
/
Fatores Sociológicos
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Teste Pré-Natal não Invasivo
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Female
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Humans
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Pregnancy
Idioma:
En
Revista:
J Perinat Med
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Alemanha