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Prenatal testing: Should you consider it?

Questions to consider

Prenatal testing is optional. It's important to make an informed decision about prenatal testing, especially if you're screening for fetal conditions that can't be treated.

  • What will you do with the test results? Normal results can ease your anxiety. But if prenatal testing indicates that your baby may have a birth defect, you may be faced with wrenching decisions — such as whether to continue the pregnancy. On the other hand, you may welcome the opportunity to plan for your baby's care in advance.
  • Will the information shape your prenatal care? Some prenatal tests detect problems that can be treated while you're pregnant. In other cases, prenatal testing alerts your health care provider to a condition that requires immediate treatment after birth.
  • How accurate are the results? Prenatal testing isn't perfect. The proportion of false-negative and false-positive results varies from test to test.
  • What are the risks? Weigh the risks of specific prenatal tests — such as anxiety, pain or possible miscarriage — against the value of knowing the results.
  • What is the expense? Insurance coverage for prenatal testing varies. If the test you're considering isn't covered by your insurance plan, are you willing and able to cover the cost of the test on your own?

The decision is yours

Prenatal testing can provide information that influences your prenatal care. But some screening tests introduce the need for careful personal decisions. Ultimately, the decision to pursue prenatal testing is up to you. If you're concerned about prenatal testing, discuss the risks and benefits with your health care provider.

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June 20, 2008

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