Centre for Biomedical Ethics and Law, Katholieke Universiteit Leuven, Leuven, Belgium.
Hum Reprod. 2011 May;26(5):972-7. doi: 10.1093/humrep/der042. Epub 2011 Feb 28.
Recently, a number of commercial companies are offering preconceptional carrier tests directly-to-consumers. This offer raises a number of concerns and issues above and beyond those encountered with preconceptional tests offered within the traditional health care setting. In order to bring some of these issues to light and to initiate dialogue on this topic, this article discusses the following issues: the current offer of preconceptional carrier tests (until the end of 2010) through online commercial companies; the implications for the informed consent procedure and the need for good information; the need for medical supervision and follow-up; and the appropriate use of existing resources. The article concludes with some reflections about the potential sustainability of the offer of preconceptional carrier tests directly-to-consumers.
最近,一些商业公司开始直接向消费者提供孕前携带者测试。这种服务的提供带来了很多超出传统医疗环境下提供的孕前测试的问题和关注点。为了揭示这些问题并开启对这一话题的讨论,本文讨论了以下几个问题:目前通过网络商业公司提供的孕前携带者测试(截至 2010 年底);知情同意程序和良好信息的需求所涉及的问题;医疗监督和随访的必要性;以及如何合理利用现有资源。文章最后对直接向消费者提供孕前携带者测试的可持续性进行了反思。