Imperfect Pregnancies: A History of Birth Defects and Prenatal Diagnosis

Provides a multifaceted history of prenatal diagnosis, tracing its evolution from early, limited methods to modern, sophisticated technologies like non-invasive prenatal testing (NIPT). It highlights how the primary purpose of prenatal diagnosis shifted from identifying conditions for potential treatment to enabling the termination of pregnancies, a controversial aspect often framed within discussions of eugenics and the concept of the "perfect child." The texts also explore the complex interplay between scientific advancements, societal attitudes, legal frameworks, and the experiences of pregnant women as prenatal testing became increasingly routine and integrated into standard obstetric care, blurring the lines between diagnosis and screening and raising questions about autonomy, informed choice, and the ethical implications of identifying potential fetal anomalies.

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