Advances in prenatal screening: the ethical dimension

被引:91
作者
de Jong, Antina [1 ,2 ,5 ]
Dondorp, Wybo J. [1 ,2 ,3 ]
Frints, Suzanna G. M. [2 ,4 ]
de Die-Smulders, Christine E. M. [2 ,4 ]
de Wert, Guido M. W. R. [1 ,2 ,3 ,5 ]
机构
[1] Maastricht Univ, Dept Hlth Eth & Soc, NL-6200 MD Maastricht, Netherlands
[2] Maastricht Univ, Sch Oncol & Dev Biol, GROW, NL-6200 MD Maastricht, Netherlands
[3] Maastricht Univ, CAPHRI, Sch Publ Hlth & Primary Care, NL-6200 MD Maastricht, Netherlands
[4] Maastricht Univ, Med Ctr AzM, Dept Clin Genet, NL-6202 MZ Maastricht, Netherlands
[5] Ctr Soc & Genom, NL-6500 GL Nijmegen, Netherlands
关键词
GENOMIC HYBRIDIZATION ACGH; MATERNAL PLASMA; FETAL DNA; DIAGNOSIS; ANEUPLOIDY; GUIDELINES; FETUSES; LESS; TIME; PCR;
D O I
10.1038/nrg3036
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Prenatal screening strategies are undergoing rapid changes owing to the introduction of new testing techniques. The overall tendency is towards broadening the scope of prenatal testing through increasingly sensitive ultrasound scans and genome-wide molecular tests. In addition, non-invasive prenatal diagnosis is likely to be introduced in the near future. These developments raise important ethical questions concerning meaningful reproductive choice, the autonomy rights of future children, equity of access and the proportionality of testing.
引用
收藏
页码:657 / 663
页数:7
相关论文
共 58 条
[1]  
[Anonymous], 2009, Obstet Gynecol, V114, P1161, DOI 10.1097/AOG.0b013e3181c33cad
[2]  
[Anonymous], 2007, Obstetrics Gynecology, V110, P1459, DOI DOI 10.1097/01.AOG.0000291570.63450.44
[3]  
[Anonymous], 1968, PUBLIC HLTH PAP, DOI DOI 10.1001/ARCHINTE.1969.00300130131020
[4]  
[Anonymous], 2009, Cell-free fetal nucleic acids for non-invasive prenatal diagnosis. Report of the UK expert working group
[5]   Cell-free fetal DNA in the maternal serum and plasma: current and evolving applications [J].
Avent, Neil D. ;
Madgett, Tracey E. ;
Maddocks, Deborah G. ;
Soothill, Peter W. .
CURRENT OPINION IN OBSTETRICS & GYNECOLOGY, 2009, 21 (02) :175-179
[6]  
Beauchamp TL, 1979, Principles of Biomedical Ethics
[7]   Time to reconsider our approach to echogenic intracardiac focus and choroid plexus cysts [J].
Bethune, Michael .
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, 2008, 48 (02) :137-141
[8]   Increased nuchal translucency in euploid fetuses-what should we be telling the parents? [J].
Bilardo, C. M. ;
Timmerman, E. ;
Pajkrt, E. ;
van Maarle, M. .
PRENATAL DIAGNOSIS, 2010, 30 (02) :93-102
[9]   Individualized choice in prenatal diagnosis: the impact of karyotyping and standalone rapid aneuploidy detection on quality of life [J].
Boormans, E. M. A. ;
Birnie, E. ;
Oepkes, D. ;
Boekkooi, P. F. ;
Bonsel, G. J. ;
van Lith, J. M. M. .
PRENATAL DIAGNOSIS, 2010, 30 (10) :928-936
[10]  
Borry P, 2009, EUR J HUM GENET, V17, P711, DOI [10.1038/ejhg.2009.25, 10.1038/ejhg.2009.26]