The 2011 SOGC Clinical Practice Guideline 261, “Prenatal Screening for Fetal Aneuploidy in Singleton Pregnancies”, recommends that clinicians offer prenatal screening to all pregnant women, and provide counselling in a non‐directive manner. Non‐directive counselling is intended to facilitate autonomous decision‐making and remove the clinician’s views regarding a particular course of action. However, recent research in genetic counselling raises concerns that nondirective counselling is neither possible nor desirable, and may not be the best way to facilitate informed choice. This paper proposes an alternative model of information sharing for prenatal screening which combines attributes of the models of Informative Decision‐Making and Shared Decision‐Making. Our proposed model is intended to provide clinicians with a strategy to communicate information about prenatal screening in a way that facilitates a shared deliberative process, and autonomous decision‐making. Our proposed model may better prepare a pregnant woman to make an informed choice about participating in prenatal screening based on her consideration of the medical information provided by her clinician and her particular circumstances and values.
Available at: http://works.bepress.com/meredith_vanstone/3/