Reproductive deliberation: Supporting autonomous decision making in prenatal genetic counseling

Area of Science:

• Reproductive genetics
• Bioethics
• Genetic counseling

Background:

• Non-invasive prenatal testing (NIPT) is increasingly popular, prompting ethical discussions on reproductive autonomy.
• High-chance NIPT results necessitate genetic counseling to navigate complex reproductive decisions.

Purpose of the Study:

• To evaluate existing post-NIPT genetic counseling models (non-directive and shared decision-making).
• To propose a novel counseling framework, "reproductive deliberation," to enhance reproductive autonomy.

Main Methods:

• Critical analysis of current genetic counseling models in the context of NIPT.
• Development of the "reproductive deliberation" model based on relationality and decision-making support.

Main Results:

• Neither non-directive counseling nor shared decision-making adequately supports reproductive autonomy after NIPT.
• The proposed "reproductive deliberation" model integrates relational aspects with enhanced decision-making support.

Conclusions:

• A new approach to prenatal genetic counseling is needed to effectively support reproductive autonomy.
• Reproductive deliberation offers a promising framework for counseling individuals undergoing NIPT.