By G Evers-Kiebooms, Peter Harper, MW Zoeteweij
This booklet addresses the organic, ethical and criminal matters which coming up prenatal checking out of past due onset neurogenetic illness. The participants concentration particularly on Huntington's disorder, that's used as a version for different overdue onset neurogenetic illnesses. the moral and criminal facets of prenatal checking out and preimplantation genetic prognosis are mentioned on the subject of case histories. This quantity will supply priceless insights for all these excited by facing those not easy concerns.
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Extra info for Prenatal Testing for Late-onset Neurogenetic Diseases
Sample text
1993). This illustrates that some couples feel a pressure to use prenatal diagnosis because the technology is available. This ‘technological imperative’ deters couples from considering other possibilities, such as having no children or having children without medical intervention. The consequence may be repeated prenatal tests, without reflection about the pathway chosen or about other possible pathways. The question may arise as to whether Mrs K and John were victims of the ‘technological imperative’ to use prenatal testing or PGD.
In cases of a 50% risk outcome for the fetus parents may decide for or against pregnancy termination or decide for full testing (guided exclusion testing). In our series, Belgium, The Netherlands and France had more full prenatal tests (with the same tendencies in Leiden, Leuven, Paris and Athens). In the UK (Cardiff, Aberdeen) and Italy (Rome) the number of full prenatal tests almost equalled the number of exclusion tests (Table 5). It was interesting to investigate the relation between the genetic status of the prospective parent and the type of prenatal test.
This option raised the question of whose right carries most weight: the right of an adult child to know its genetic status or the right of a parent not to know. Another dilemma concerns prospective parents at 50% risk who wish to exclude carriership in the fetus without revealing the genetic status of the parent, using the prenatal exclusion test. In the guidelines of the International Huntington Association and World Federation of Neurology Research Group on Huntington’s Chorea (1994) it is stated that prenatal testing should be performed only if the parent’s genetic status is known, except for prenatal exclusion testing.