Will the introduction of non-invasive prenatal diagnostic testing erode informed choices? An experimental study of health care professionals

摘要: Abstract Objective Informed choice is a fundamental concept within prenatal care. The present study assessed the extent to which introduction of non-invasive diagnosis (NIPD) Down's syndrome may undermine process making informed choices undergo testing or screening for by altering quality and quantity pre-test counselling. Methods 231 obstetricians midwives were randomly allocated one three vignettes, each describing different type test: (a) invasive (IPD), (b) (c) (DSS). Participants then asked complete questionnaire assessing (1) information considered important communicate women, (2) whether test offer uptake should take place on days, (3) signed consent forms be obtained prior testing. Results Across types, five out seven presented topics equally communicate, including that woman's choice. Compared with participants receiving IPD vignette, those NIPD DSS vignettes less likely report counselling occur days (IPD 94.7% versus 74.1% 73.9% respectively, p = .001) written was necessity 96.1% 68.3% 75.4% p  Conclusion This provides first empirical evidence demonstrate practitioners view differently IPD. There potential women in context diagnostic conditions like DS. Practice implications Given importance reproductive decision-making, implementation any programme based designed facilitate this.