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Abstract

April - June 2023 | Vol. 16 | Issue 2 | 09-11
The Dichotomy of Medical Ethics in the Field of Fetal Medicine
Dr Chanchal Singh
Fetal Medicine Unit, Madhukar Rainbow Children’s Hospital and BirthRight by Rainbow Hospitals, New Delhi, India
Address for Correspondence Email: chanchalsngh@gmail.com
 
Abstract
Noninvasive prenatal screening (NIPS) by cell-free DNA (cfDNA) in maternal blood is increasingly being used for screening for common aneuploidies due to its high sensitivity and specificity. The increased uptake of this noninvasive test has also increased the prenatal detection of sex chromosome aneuploidies (SCA) which is usually an unexpected finding for parents and clinicians alike, especially when the ultrasound does not report any abnormal finding. One such condition being increasingly diagnosed prenatally is the triple X syndrome (47,XXX) which has a reported incidence of 1 in 1000. Since the outcome of this condition is highly variable, with a large majority thought to remain undiagnosed, counselling parents can be difficult for healthcare professionals. This paper highlights the challenges of providing non-directive, evidence-based counselling, the ethical dilemmas, and the contrasting outcomes depending on parents’ choices when confronted with this unexpected diagnosis.
 
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