Fetal Counseling for Congenital Malformations
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Fetal counseling is best achieved by a multidisciplinary team that can favorably influence the perinatal management of prenatally diagnosed anomalies and provide this information to prospective parents. Prenatal diagnosis has remarkably improved our understanding of surgically correctable congenital malformations. It has allowed us to influence the delivery of the baby, offer prenatal surgical management, and discuss the options of termination of pregnancy for seriously handicapping or lethal conditions. Antenatal diagnosis has also defined an in utero mortality for some lesions such as diaphragmatic hernia and sacrococcygeal teratoma so that true outcomes can be measured. The limitation of in utero diagnosis cannot be ignored. The aim of prenatal counseling is to provide information to prospective parents on fetal outcomes, possible interventions, appropriate setting, time and route of delivery, and expected postnatal outcomes, immediate and long term.
KeywordsFetal counseling Congenital surgical malformations
Reprinted/adapted by permission from Springer-Verlag Berlin Heidelberg: Springer Nature, Springer eBook by Kokila Lakhoo Copyright © 2009, Springer-Verlag Berlin Heidelberg.
- Burge DM, Shah K, Spark P, Shenker N, Pierce M, Kurinczuk JJ, Draper ES, Johnson PR, Knight M, British Association of Paediatric Surgeons Congenital Anomalies Surveillance System (BAPS-CASS). Contemporary management and outcomes for infants born with oesophageal atresia. Br J Surg. 2013;100(4): 515–21.CrossRefGoogle Scholar
- CEMACH. Stillbirth, neonatal and post-neonatal mortality 2000–2003, England, Wales and Northern Ireland. London: RCOG Press; 2005.Google Scholar
- Dekoninck P, Gratacos E, Van Mieghem T, Richter J, Lewi P, Ancel AM, Allegaert K, Nicolaides K, Deprest J. Results of fetal endoscopic tracheal occlusion for congenital diaphragmatic hernia and the set up of the randomized controlled TOTAL trial. Early Hum Dev. 2011;87(9):619–24.CrossRefGoogle Scholar
- Elbourne D, Field D, Mugford M. Extracorporeal membrane oxygenation for severe respiratory failure in newborn infants. Cochrane Database Syst Rev. 2002:CD001340.Google Scholar
- Garcia-Flores J, Recio M, Uriel M, Cañamares M, Cruceyra M, Tamarit I, Carrascoso J, Espada M, Sáinz De La Cuesta R. Fetal magnetic resonance imaging and neurosonography in congenital neurological anomalies supplementary diagnostic and postnatal prognostic value. J Matern Fetal Neonatal Med. 2013;26(15):1517–23.CrossRefGoogle Scholar