‘Small cost to pay for peace of mind’: Women's experiences with non‐invasive prenatal testing

<p><strong>Background</strong> Non‐invasive prenatal testing (NIPT ) has been available in Australia on a user‐pays basis since 2012. Since its introduction, it has grown in popularity as a screening method for fetal aneuploidy and may become publicly funded.</p> <p>&l...

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Bibliographic Details
Main Authors: Bowman‐Smart, H, Savulescu, J, Mand, C, Gyngell, C, Pertile, MD, Lewis, S, Delatycki, MB
Format: Journal article
Language:English
Published: Wiley 2019
Description
Summary:<p><strong>Background</strong> Non‐invasive prenatal testing (NIPT ) has been available in Australia on a user‐pays basis since 2012. Since its introduction, it has grown in popularity as a screening method for fetal aneuploidy and may become publicly funded.</p> <p><strong>Aims</strong> To assess the motivations and experiences of women who have undergone NIPT in a user‐pays system in Australia.</p> <p><strong>Materials and methods</strong> One thousand women who had undergone NIPT through the Victorian Clinical Genetics Services in Melbourne, Australia were contacted and asked to complete a mixed‐methods survey. The number of eligible responses received was 235. Quantitative data analysis was performed in STATA IC 15.1, and qualitative data were examined using content analysis.</p> <p><strong>Results</strong> Women reported generally positive experiences with NIPT and 95% of respondents indicated they would undergo NIPT in a future pregnancy. Most respondents received a low‐risk result, with 2.2% receiving a high‐risk result. Respondents viewed NIPT favourably compared to invasive testing and cited reassurance as a key reason they sought it. However, a small minority of women reported negative experiences with the testing process. Women were also supportive of NIPT becoming publicly funded, with 93% of respondents indicating support. Pre‐ and post‐test counselling were identified as possible areas for improvement to ensure informed consent.</p> <p><strong>Conclusion</strong> In support of the existing literature, these results indicate that Australian women generally report positive experiences with NIPT . As NIPT becomes more common, with possible integration into public healthcare, further qualitative research would be valuable to examine the motivations and experiences of women undergoing NIPT .</p>