What are the odds that you are having a child with Down syndrome?

Here in my hometown, it's Derby week. With the greatest two minutes in sports upon us, it naturally has me thinking about odds. Indeed, prenatal testing for Down syndrome has that same focus. So, what are the odds that you are having a child with Down syndrome? Not only is this answer important, but it will surprise many. Continue Reading

Verinata’s Prenatal Testing Flow Chart: Unethical?

As I’ve mentioned before, on the home page there is a scroll of my twitter feed. Like this blog, I typically tweet about news related to Down syndrome and/or prenatal testing. But, sometimes Twitter’s 140-character limit is not enough to provide a thorough analysis of ethical issues. Verinata is a laboratory that developed its version of non-invasive prenatal testing (NIPT), which has the brand name "verifi." Featured on its website is the following decision-making flow chart for prenatal Continue Reading

Breaking News: ACOG Issues New Guidelines on NIPT

Since the 1990's, when fragments of cell free fetal DNA (cffDNA) were found in the mother's blood stream, researchers have been on a quest for what is regularly termed "The Holy Grail" of prenatal testing: a diagnostic test from just a mother's blood sample. If the fetal DNA could be identified and tested, then the fetus' genetic code could be diagnosed. Mothers (and practitioners) would be able to receive a diagnosis without risking miscarriage, as must be done with current diagnostic tests, Continue Reading

The Informed Consent Process: Voluntariness

There are many ethical issues involved with prenatal testing for Down syndrome. I hope in time to address as many as possible. To start with, however, is the ethical concept that commentators have cited as making the offering of prenatal testing a moral obligation: informed consent. Informed consent has a rich history that developed in the United States through court decisions and was codified as an international norm in The Nuremberg Code. Out of respect for an individual's autonomy--the Continue Reading