Current controversies in prenatal diagnosis 3: the ethical and counseling implications of new genomic technologies: all pregnant women should be offered prenatal diagnostic genome-wide testing for prenatally identified fetal congenital anomalies


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Abstract

What's already known about this topic?Congenital anomalies are common in human reproduction and have a prevalence of 5%.Molecular fetal karyotyping using microarray analysis will detect more pathogenic chromosomal anomalies.Patient understanding related to the complexity and the information identified with fetal microarray testing is variable and very limited.What does this debate add?More consistent and in-depth patient counseling is required so that this new technology can be used for higher levels of informed consent, for better diagnostic information, and within an appropriate ethical framework.

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