This still caries an uncomfortable implication that Downs and Autism are inherently negative traits, and that people who have them would be better off not having existed in the first place.
Depending on where you fall on the fetal personhood debate, preventing someone from existing is much better than killing them. But that doesn't mean the choice can't reveal negative things about society's overall attitudes towards people in those groups. If you're a member of one of these groups, it feels bad to have someone tell you that a fundamental part of your personality is something that ought to be eliminated from society in general.
And of course autistic people and their families often have hard lives, but a large portion of that difficulty comes from social and infrastructure problems. We're not good at building societies that are easy for differently abled people to interact with.
I want to make an analogy that should hopefully make the problem more clear. It's easy to make a case that being gay or transgender socially disadvantages both a person and their overall family unit. Raising a transgender child is going to be harder than raising someone that conforms to strict gender-rules -- you're going to have a few difficult conversations, and you're going to fight with a few systems, and you're occasionally going to have to deal with jerks telling you you've messed up your kid. None of this is right or fair, and we're getting a little bit better, but it's still a problem.
If there was a way to detect someone's future sexual orientation and identity in the womb, would you be comfortable allowing families to make abortion decisions based on that information? If that technology had existed in the 1980s where being transgender was even harder than it is today, would you have been comfortable with it being used then? Would gay and transgender rights have made the kind of progress we've seen if that technology had been available and unregulated?