Balancing Risks: The Core of Women's Decisions About Noninvasive Prenatal Testing

Abstract

Background: Noninvasive prenatal testing (NIPT) using cell-free fetal DNA is having a significant impact on the delivery of prenatal care. Our objective was to identify how pregnant women characterize the risks and benefits of this screening test and their preferences in order to guide an informed decision-making process about its use. Methods: We conducted focus groups with women who were either pregnant or recently postpartum who received outpatient prenatal care. A moderator guide was used to elicit participants’ perspectives on noninvasive prenatal testing. Results: Despite the low chance of a false positive result, this aspect of NIPT was a key determinant in participants’ decision making about the screening test. Participants discussed how many of the drawbacks and considerations associated with prenatal screening would remain intact regardless of the accuracy of a new approach to assess fetal health. Conclusions: NIPT affects how women think about risk not only in regard to prenatal genetic screening but also broadly in the context of pregnancy. The unique and appealing aspects of NIPT do not simplify women's decision-making processes or reduce the support they need to make choices that align with their needs and preferences.