I believe most would choose not to take that step because they are well and truly cognisant of the level of responsibility and care required to raise a child with the same, or more extensive, needs as they themselves had. No one would know better than they would, and I have yet to meet a person with Downs that was stupid despite any manifest intellectual deficit.
That said, it is definitely immoral to forcibly prevent another human from having a child. Any debate on morality must focus on the decision the individual themselves must make.