Two national organizations representing people with Down syndrome announced this week that they have reached a consensus with representatives of three national groups of medical professionals to establish common ground on prenatal screening and testing.
In a press release, the organizations said the coalition had agreed that health professionals and the public need non-judgmental, non-coercive, balanced, up-to-date, and accurate information about Down syndrome. They identified possible areas of collaboration for the future, and said dialogue among the groups was moving them toward “greater mutual understanding.”
Entitled “Toward Concurrence: Understanding Prenatal Screening and Diagnosis of Down Syndrome from the Health Professional and Advocacy Community Perspectives,” the document was endorsed by representatives of the National Down Syndrome Society, the National Down Syndrome Congress, the American College of Obstetricians and Gynecologists (ACOG), the American College of Medical Genetics, and the National Society of Genetic Counselors, according to a press release from NDSS and NDSC.
The consensus agreement emerged out of a two-day meeting last fall that was hosted by the University of South Carolina’s Genetic Counseling Program and the University’s Center for Disability Resources. It follows recommendations by ACOG that all pregnant women regardless of age be offered prenatal screening and testing for fetal chromosomal abnormalities.
The document sets out the following areas of consensus among the groups:
- Balanced, accurate public information on the lives and value of individuals with Down syndrome is needed;
- Health professionals need education about Down syndrome that is based on the most up-to-date information;
- Education for expectant parents regarding prenatal screening and testing should be consistent; and
- Information for parents receiving a genetic diagnosis should be complete, consistent, non-judgmental, and non-coercive.
The coalition also attempted to dispel what it termed “apparent misperceptions” about prenatal testing among the general public, advocates and health care professionals. The consensus document made the following assertions:
- It is a misperception to say that obstetricians are recommending prenatal tests to reduce the number of individuals in society who have birth defects and genetic conditions;
- It is a misperception to say that the purpose of offering prenatal diagnosis to all pregnant women is to decrease the number of births of children with Down syndrome;
- It is a misperception to say that ninety percent of pregnancies prenatally diagnosed with Down syndrome are terminated;
- It is a misperception to say that NDSS and NDSC are pro-life organizations;
- It is a misperception to say that genetic counselors with master’s degrees influence parents to accept pregnancy termination; and
- It is a misperception to say that prenatal screening and testing are performed exclusively to detect Down syndrome.