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Related Experiment Videos

Multidisciplinary team counseling for fetal anomalies.

R P Lorenz1, M H Kuhn

  • 1Department of Obstetrics and Gynecology, William Beaumont Hospital, Royal Oak, MI 48072.

American Journal of Obstetrics and Gynecology
|August 1, 1989
PubMed
Summary

Coordinated prenatal management of fetal anomalies involves a multidisciplinary team and family counseling. This approach clarifies the diagnosis and prognosis, reducing family anxiety during a crisis.

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Area of Science:

  • Perinatal Medicine
  • Fetal Surgery
  • Pediatric Subspecialties

Background:

  • Prenatal diagnosis of fetal anomalies necessitates comprehensive management strategies.
  • Effective care requires collaboration among various medical specialists and the family.

Purpose of the Study:

  • To describe a multidisciplinary team approach for managing pregnancies with diagnosed fetal anomalies.
  • To evaluate the benefits of early, integrated counseling for affected families.

Main Methods:

  • Convening a multidisciplinary team including obstetricians, neonatologists, subspecialists, geneticists, and social workers.
  • Facilitating a joint meeting with the family and all relevant specialists shortly after anomaly identification.
  • Discussing diagnosis, prognosis, management plans, and available alternatives during the team-family conference.

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Main Results:

  • The described approach led to a clear definition of the medical problem for families.
  • Integrated team counseling was found to reduce confusion and anxiety.
  • A supportive environment was established for families experiencing a crisis.

Conclusions:

  • A cooperative, multidisciplinary team approach is effective for prenatal management of fetal anomalies.
  • Early and comprehensive family counseling improves the management experience and support.
  • This model of care has shown favorable outcomes in 28 families studied.