{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T10:11:56Z","timestamp":1774519916938,"version":"3.50.1"},"reference-count":7,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T00:00:00Z","timestamp":1648080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Women's autonomy and an inclusive society for all individuals are highly valued in Norway. The Norwegian Biotechnology Act changed in 2020 allowing first\u2010trimester screening and cell\u2010free DNA for common trisomies to all pregnant women. However, implementing non\u2010invasive prenatal testing (NIPT) in a public antenatal care program is difficult, because many patients, politicians, and medical professionals do not consider trisomy 21 a severe medical disease. Screening for trisomies at an early gestation might inevitably lead to an increase in pregnancy terminations and making cost\u2013benefit calculations is ethically challenging. Moreover, offering NIPT to all pregnant women is debatable because of the lower prevalence of fetal trisomies in younger women. Therefore, appropriate genetic pre\u2010test counseling is essential. Furthermore, organizing the service between private institutions and public hospitals poses another debate and challenges both quality and equal access to health services for women across the country.<\/jats:p>","DOI":"10.1111\/aogs.14351","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T05:58:21Z","timestamp":1648187901000},"page":"577-580","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Controversies in implementing n<scp>on\u2010invasive<\/scp> prenatal testing in a public antenatal care program"],"prefix":"10.1111","volume":"101","author":[{"given":"Kjell \u00c5smund Blix","family":"Salvesen","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Olavs Hospital, Trondheim University Hospital  Trondheim Norway"},{"name":"Department of Clinical and Molecular Medicine Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ragnhild","family":"Glad","sequence":"additional","affiliation":[{"name":"Department of Medical Genetics University Hospital of North Norway  Troms\u00f8 Norway"},{"name":"Department of Obstetrics and Gynecology University Hospital of North Norway  Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3264-3302","authenticated-orcid":false,"given":"Vasilis","family":"Sitras","sequence":"additional","affiliation":[{"name":"Department of Fetal Medicine Oslo University Hospital  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,24]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Legatum Institute.Norway is the Most Prosperous Country in the World.https:\/\/li.com\/news\/norway\u2010is\u2010the\u2010most\u2010prosperous\u2010country\u2010in\u2010the\u2010world\/# (accessed 03.01.22)"},{"issue":"14","key":"e_1_2_9_3_1","first-page":"1451","article-title":"Gravide kvinners holdning til fosterdiagnostikk [pregnant women's attitudes to prenatal screening in Norway]. Norwegian","volume":"140","author":"Sitras V","year":"2020","journal-title":"Tidsskr Nor Laegeforen"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.17484"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004084"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13841"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajhg.2019.10.005"},{"issue":"2021","key":"e_1_2_9_8_1","first-page":"1338","article-title":"Mer treffsikker fosterdiagnostikk [More accurate fetal diagnostics]. Norwegian","volume":"141","author":"S\u00f8rensen IW","year":"2021","journal-title":"Tidsskr Nor Laegeforen"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14351","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aogs.14351","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T16:14:20Z","timestamp":1741796060000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,24]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1111\/aogs.14351"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14351","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,24]]},"assertion":[{"value":"2022-01-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}