Implementing Expanded Prenatal Genetic Testing: Should Parents Have Access to Any and All Fetal Genetic Information?
Implementing Expanded Prenatal Genetic Testing: Should Parents Have Access to Any and All Fetal Genetic Information?
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DOI：
10.1080/15265161.2020.1867933
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发表时间：
2022-02
影响因子：
13.4
通讯作者：
Berkman, Benjamin E.
中科院分区：
文献类型：
--
作者：
Bayefsky, Michelle J.;Berkman, Benjamin E.
产前基因检测可用于越来越广泛的疾病，父母选择对胎儿的数百甚至数千种遗传状况进行检测只是时间问题。是否应该限制获取某些类型的胎儿遗传信息？如果是，依据是什么？我们评估一系列考虑因素，包括生殖自主权、父母权利、残疾权利以及胎儿作为未来潜在孩子的权利和利益。我们的结论是，父母应该能够获取在怀孕期间有用的信息，但对非医学信息的测试应该受到限制。接下来，我们认为政府在监管产前基因检测方面缺乏令人信服的国家利益，并建议应通过医学会进行监管。最后，我们提出了一个框架，用于确定医生应该推荐、中立提供或根本不提供哪些测试。
Prenatal genetic testing is becoming available for an increasingly broad set of diseases, and it is only a matter of time before parents can choose to test for hundreds, if not thousands, of genetic conditions in their fetuses. Should access to certain kinds of fetal genetic information be limited, and if so, on what basis? We evaluate a range of considerations including reproductive autonomy, parental rights, disability rights, and the rights and interests of the fetus as a potential future child. We conclude that parents should be able to access information that could be useful during pregnancy, but that testing for non-medical information should be limited. Next, we argue that the government lacks a compelling state interest in regulating prenatal genetic testing and propose that regulation should occur through medical societies. Finally, we present a framework for determining what testing physicians should recommend, offer neutrally, or not offer at all.
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