The salience of genomic information to reproductive autonomy: Australian healthcare professionals’ views on a changing prenatal testing landscape

Genomic testing in prenatal care is rapidly advancing and it is now possible to obtain an entire fetal genome via a blood test administered in early pregnancy. In the pursuit of reproductive autonomy, more tests are being offered to more people, for an ever-increasing range of indications. Health pr...

Full description

Bibliographic Details
Main Authors: Kerryn Drysdale, J. L. Scully, L. Kint, K.-J. Laginha, J. Hodgson, I. Holmes, K. L. MacKay, A. J. Newson
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:New Genetics and Society
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/14636778.2024.2332310
_version_ 1797198444290375680
author Kerryn Drysdale
J. L. Scully
L. Kint
K.-J. Laginha
J. Hodgson
I. Holmes
K. L. MacKay
A. J. Newson
author_facet Kerryn Drysdale
J. L. Scully
L. Kint
K.-J. Laginha
J. Hodgson
I. Holmes
K. L. MacKay
A. J. Newson
author_sort Kerryn Drysdale
collection DOAJ
description Genomic testing in prenatal care is rapidly advancing and it is now possible to obtain an entire fetal genome via a blood test administered in early pregnancy. In the pursuit of reproductive autonomy, more tests are being offered to more people, for an ever-increasing range of indications. Health professionals who provide pregnancy care are at the vanguard of prenatal testing, yet their views on the impact of technology advancements remain under-explored. Qualitative interviews with Australian healthcare professionals revealed that they value prenatal testing for its information-giving potential. However, the rationale underpinning testing reveals a tension between professionals’ desire for certainty and patients’ expectation that they will be reassured. Coupled with the greater salience of genomic information over other forms of knowledge in prenatal care, we suggest that the unchecked pursuit of information by way of genomic technologies in prenatal testing may paradoxically constrain reproductive autonomy in practice.
first_indexed 2024-04-24T06:59:57Z
format Article
id doaj.art-9750c544c0034b83ad1cccbe5472de1f
institution Directory Open Access Journal
issn 1463-6778
1469-9915
language English
last_indexed 2024-04-24T06:59:57Z
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series New Genetics and Society
spelling doaj.art-9750c544c0034b83ad1cccbe5472de1f2024-04-22T08:56:38ZengTaylor & Francis GroupNew Genetics and Society1463-67781469-99152024-12-0143110.1080/14636778.2024.2332310The salience of genomic information to reproductive autonomy: Australian healthcare professionals’ views on a changing prenatal testing landscapeKerryn Drysdale0J. L. Scully1L. Kint2K.-J. Laginha3J. Hodgson4I. Holmes5K. L. MacKay6A. J. Newson7Centre for Social Research in Health, University of New South Wales, Sydney, AustraliaDisability Innovation Institute, University of New South Wales, Sydney, AustraliaSydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, AustraliaSydney Health Ethics, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, AustraliaDepartment of Paediatrics, Melbourne Medical School, The University of Melbourne, Melbourne, Australia.Sydney Health Ethics, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, AustraliaSydney Health Ethics, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, AustraliaSydney Health Ethics, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, AustraliaGenomic testing in prenatal care is rapidly advancing and it is now possible to obtain an entire fetal genome via a blood test administered in early pregnancy. In the pursuit of reproductive autonomy, more tests are being offered to more people, for an ever-increasing range of indications. Health professionals who provide pregnancy care are at the vanguard of prenatal testing, yet their views on the impact of technology advancements remain under-explored. Qualitative interviews with Australian healthcare professionals revealed that they value prenatal testing for its information-giving potential. However, the rationale underpinning testing reveals a tension between professionals’ desire for certainty and patients’ expectation that they will be reassured. Coupled with the greater salience of genomic information over other forms of knowledge in prenatal care, we suggest that the unchecked pursuit of information by way of genomic technologies in prenatal testing may paradoxically constrain reproductive autonomy in practice.https://www.tandfonline.com/doi/10.1080/14636778.2024.2332310Prenatal diagnosisbioethicsgenomics
spellingShingle Kerryn Drysdale
J. L. Scully
L. Kint
K.-J. Laginha
J. Hodgson
I. Holmes
K. L. MacKay
A. J. Newson
The salience of genomic information to reproductive autonomy: Australian healthcare professionals’ views on a changing prenatal testing landscape
New Genetics and Society
Prenatal diagnosis
bioethics
genomics
title The salience of genomic information to reproductive autonomy: Australian healthcare professionals’ views on a changing prenatal testing landscape
title_full The salience of genomic information to reproductive autonomy: Australian healthcare professionals’ views on a changing prenatal testing landscape
title_fullStr The salience of genomic information to reproductive autonomy: Australian healthcare professionals’ views on a changing prenatal testing landscape
title_full_unstemmed The salience of genomic information to reproductive autonomy: Australian healthcare professionals’ views on a changing prenatal testing landscape
title_short The salience of genomic information to reproductive autonomy: Australian healthcare professionals’ views on a changing prenatal testing landscape
title_sort salience of genomic information to reproductive autonomy australian healthcare professionals views on a changing prenatal testing landscape
topic Prenatal diagnosis
bioethics
genomics
url https://www.tandfonline.com/doi/10.1080/14636778.2024.2332310
work_keys_str_mv AT kerryndrysdale thesalienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT jlscully thesalienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT lkint thesalienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT kjlaginha thesalienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT jhodgson thesalienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT iholmes thesalienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT klmackay thesalienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT ajnewson thesalienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT kerryndrysdale salienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT jlscully salienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT lkint salienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT kjlaginha salienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT jhodgson salienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT iholmes salienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT klmackay salienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape
AT ajnewson salienceofgenomicinformationtoreproductiveautonomyaustralianhealthcareprofessionalsviewsonachangingprenataltestinglandscape