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Preconception Expanded Carrier Screening: A Discourse Analysis of Dutch Webpages.

Sofia Morberg Jämterud1, Anke Snoek2

  • 1Department of Thematic Studies, Technology and Social Change, Linköping University, 581 85 Linköping, Sweden.

Healthcare (Basel, Switzerland)
|May 27, 2023
PubMed
Summary
This summary is machine-generated.

Preconception expanded carrier screening (PECS) websites often emphasize scientific facts, potentially obscuring the ethical and existential choices couples face. This risks making crucial personal decisions invisible.

Keywords:
discourse analysisepistemologyethicsgeneticspreconception expanded carrier screeningrationalities

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Area of Science:

  • Genetics
  • Bioethics
  • Health Communication

Background:

  • Preconception expanded carrier screening (PECS) provides vital information to prospective parents regarding heritable genetic conditions.
  • Websites are increasingly important resources for understanding PECS.

Purpose of the Study:

  • To analyze the underlying rationalities and discourses presented in information about PECS on Dutch websites.
  • To identify how websites position prospective parents in relation to genetic screening.

Main Methods:

  • Multimodal critical discourse analysis was employed.
  • Publicly available website data from two Dutch genetics departments were analyzed.

Main Results:

  • Three dominant discourses were identified: "risk and the couple as mediators of severe conditions," "focus on scientific facts and rational conceivers," and "severity of conditions and the responsible couple."
  • The analysis revealed how websites frame PECS information, influencing perceptions of risk and decision-making.

Conclusions:

  • Information on PECS must acknowledge the interplay between epistemology (knowledge) and ethics.
  • An overemphasis on scientific facts in PECS information may render complex ethical and existential considerations invisible to prospective parents.