Analisis Bioetika Islam terhadap Non-Invasive Prenatal Testing (NIPT) dan Pengambilan Keputusan Medis pada Kasus Anomali Janin: A Review
DOI:
https://doi.org/10.47313/jkik.v9i2.4357Abstrak
Non-Invasive Prenatal Testing (NIPT) merupakan metode skrining prenatal yang banyak digunakan untuk mendeteksi anomali kromosom janin secara dini dengan risiko minimal bagi ibu dan janin. Meskipun memiliki manfaat klinis yang signifikan, peningkatan penggunaan NIPT menimbulkan berbagai permasalahan etika, terutama dalam pengambilan keputusan medis ketika terdeteksi adanya anomali janin. Artikel ini bertujuan untuk mengkaji penggunaan NIPT serta menganalisis dilema etika dalam pengambilan keputusan prenatal berdasarkan perspektif bioetika Islam. Metode yang digunakan adalah narrative review terhadap jurnal nasional dan internasional bereputasi yang diterbitkan dalam lima tahun terakhir, dengan fokus pada NIPT, dilema etika, penanganan anomali janin, dan prinsip bioetika Islam. Hasil kajian menunjukkan bahwa NIPT efektif secara klinis dan dapat diterima secara etis sebagai alat skrining, namun masih menghadapi tantangan terkait informed consent, routinization, otonomi reproduksi, serta implikasinya terhadap keberlanjutan kehamilan. Dalam perspektif bioetika Islam, pengambilan keputusan medis pasca-NIPT harus berlandaskan pada maqāṣid al-sharī‘ah, khususnya perlindungan jiwa (ḥifẓ al-nafs), pertimbangan maslahat dan mafsadat, serta penghormatan terhadap martabat manusia. Integrasi nilai-nilai tersebut penting untuk memastikan praktik prenatal yang etis dan berkeadilan.
Kata Kunci: Non-Invasive Prenatal Testing (NIPT), Bioetika Islam, Anomali Janin, Pengambilan Keputusan Medis, Etika Prenatal
Referensi
Andonotopo, W., Bachnas, M. A., Pribadi, A., Alamsyah Azis, M., Aldika Akbar, M. I., Ernawati, Hariyasa Sanjaya, I. N., Putra Wiradnyana, A. A. G., Aldiansyah, D., Dewantiningrum, J., Adi Pramono, M. B., Wantania, J., Sulistyowati, S., Stanojevic, M., & Kurjak, A. (2025). Integrating NIPT and ultrasound for detecting fetal aneuploidies and abnormalities. Journal of Perinatal Medicine, 53(7), 789–802. https://doi.org/10.1515/jpm-2025-0005
Bayirli, R. (2025). The future of non-invasive prenatal testing and ethical issues. Journal of Social and Analytical Health, 4(3 SE-Review), 119–130. https://doi.org/10.5281/zenodo.14588200
Bowman-Smart, H., Gyngell, C., Mand, C., Amor, D. J., Delatycki, M. B., & Savulescu, J. (2023). Non-Invasive Prenatal Testing for “Non-Medical” Traits: Ensuring Consistency in Ethical Decision-Making. The American Journal of Bioethics : AJOB, 23(3), 3–20. https://doi.org/10.1080/15265161.2021.1996659
Horn, R. (2022). NIPT and the concerns regarding ‘routinisation.’ European Journal of Human Genetics, 30(6), 637–638. https://doi.org/10.1038/s41431-022-01053-6
Jaser, N., & Ahaddour, C. (2023). Mapping the Islamic Ethical Discourse on Prenatal Diagnosis and Termination of Pregnancy: A Methodological Analysis. Journal of Islamic Ethics, 7(1), 177–201. https://doi.org/https://doi.org/10.1163/24685542-20230091
Jayashankar, S. S., Nasaruddin, M. L., Hassan, M. F., Dasrilsyah, R. A., Shafiee, M. N., Ismail, N. A., & Alias, E. (2023). Non-Invasive Prenatal Testing (NIPT): Reliability, Challenges, and Future Directions. In Diagnostics (Vol. 13, Issue 15, p. 2570). https://doi.org/10.3390/diagnostics13152570
Rehmann-Sutter, C., Timmermans, D. R. M., & Raz, A. (2023). Non-invasive prenatal testing (NIPT): is routinization problematic? BMC Medical Ethics, 24(1), 87. https://doi.org/10.1186/s12910-023-00970-5
Vanstone, M., Cernat, A., Nisker, J., & Schwartz, L. (2018). Women’s perspectives on the ethical implications of non-invasive prenatal testing: a qualitative analysis to inform health policy decisions. BMC Medical Ethics, 19(1), 27. https://doi.org/10.1186/s12910-018-0267-4
Yu, T., Xu, X., & Wei, Q. (2025). Non-Invasive Prenatal Testing: Advances, Applications, and Limitations in Prenatal Screening. Biomedical Research and Therapy, 12(5), 7418–7423. https://doi.org/10.15419/BMRAT.V12I5.980
##submission.downloads##
Diterbitkan
Terbitan
Bagian
Lisensi

Artikel ini berlisensiCreative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-NC-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
