 Prenatal screening and diagnosis does not, at the very least, obviously or in principle operate to enhance free choices for women. Virtually all women undergo routine ultrasound testing and accept MSAFP testing when it is offered to them. Nancy Press and Carole Browner (1995) have used qualitative evidence to argue that women tend to see the choice to accept MSAFP tests as the “responsible” choice that “protects the health” of their babies, even though the only intervention available in the case of a positive test is abortion. When a test becomes routine and medically legitimized, choosing against it can be difficult. In light of such considerations, Press and Browner and others have questioned the extent to which choices to test are really informed and autonomous, and whether women are really prepared for making the difficult decisions that they may confront after testing. Many authors have also pointed out that as testing and abortion for fetal anomalies becomes more common, women who choose not to test, or who choose to carry an impaired fetus to term, may face diminished support and increased blame for their choice (see for instance Lawson 2003). Thus the availability and routinization of prenatal testing may compromise women's autonomy in some ways while increasing it in others.