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Comment & Response |

Decision-Support Guide and Use of Prenatal Genetic Testing

Mark P. Hehir, MD, MRCPI1; Jane Dalrymple1; Fergal D. Malone, MD, FRCOG1
[+] Author Affiliations
1Royal College of Surgeons in Ireland Unit, Rotunda Hospital, Dublin, Ireland
JAMA. 2015;313(2):199. doi:10.1001/jama.2014.16473.
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To the Editor Dr Kuppermann and colleagues1 reported a decrease in invasive prenatal testing, as well as patients making more informed choices, when randomized to receive a computerized, interactive decision-support guide. The control group received no specific counseling or information on screening and diagnostic tests.

The guideline from the Royal College of Obstetrics and Gynaecologists on amniocentesis and chorionic villous sampling recommends that all women undergoing these procedures provide written informed consent prior to testing. This consent should include risk of miscarriage associated with invasive testing.2


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January 13, 2015
Miriam Kuppermann, PhD, MPH; Mary E. Norton, MD
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco
JAMA. 2015;313(2):200-201. doi:10.1001/jama.2014.16488.
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