In Reply I appreciated Dr Schulz’s reflections. She is absolutely correct; I did not delve into the topic of pregnancy termination for antenatal diagnoses such as trisomy 21. Many women are having children later in life. As medicine advances, more tests are likely to become available that will allow us to know even more about the genetic makeup of our unborn children. Opening up the conversation is important.
These are terribly difficult decisions, so personal and specific to each situation and each couple. I cannot speak to what others go through in their decision-making process, but I can lend some reflections from our experience.
Davis A. Prenatally Diagnosed Trisomy 21—Reply. JAMA Pediatr. Published online June 26, 2017. doi:10.1001/jamapediatrics.2017.1576