Table 3.

Themes and subthemes

	Themes	Subthemes
1.	Economics	• Alternative financing • Prioritization of resources • Reduced cost for healthcare
2.	Political considerations	• International context • Swedish context
3.	Considerations of implementing preconception ECS	• Interests groups • Preparation • Post-screening measures • Quality of service • Anti-preconception ECS views and alternatives
4.	Role of public engagement	• Who? • How? • Why?
5.	Research	• Research on ethical issues • Health economics research • Research in relation to test panel
6.	Responsibility	• Parental responsibility • Societal responsibility • Responsibilization
7.	Societal effects	• A disabled-friendly society • Perfect society • Long-term effects