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The fetal board
K B Porter1, M L Cabaniss, M C Williams
1Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa 33606.
Summary
The fetal board is a multidisciplinary team approach to managing complex pregnancies with abnormal fetuses. This collaborative model ensures comprehensive care and improved outcomes for both mother and child.
Area of Science:
- Perinatal Medicine
- Maternal-Fetal Medicine
- Neonatology
Background:
- Complex perinatal cases require coordinated care.
- The tumor board model offers a successful framework for multidisciplinary case management.
- Pregnancies with suspected fetal abnormalities present unique challenges necessitating diverse expertise.
Purpose of the Study:
- To introduce the fetal board as a structured approach for managing complex perinatal clinical problems.
- To leverage multidisciplinary expertise for optimal diagnosis, counseling, and care of abnormal fetuses and mothers.
- To enhance education and collaboration among healthcare professionals involved in high-risk pregnancies.
Main Methods:
- Adoption of a multidisciplinary team model, analogous to the tumor board.
- Prospective planning and coordination of care for pregnancies with known or suspected fetal anomalies.
- Integration of specialists including perinatologists, obstetricians, neonatologists, pediatricians, and support staff.
Main Results:
- Provides a platform for prospective clinical diagnosis and comprehensive counseling.
- Facilitates coordinated care planning before, during, and after delivery.
- Establishes a framework for optimizing care for the abnormal fetus through integrated subspecialty input.
Conclusions:
- The fetal board model is effective in addressing complex perinatal issues.
- Multidisciplinary collaboration is crucial for improving outcomes in pregnancies with fetal abnormalities.
- The fetal board serves as a vital educational and care coordination resource for healthcare teams.