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Am J Obstet Gynecol. 2012 May;206(5):409.e1-11. doi: 10.1016/j.ajog.2012.01.026. Epub 2012 Feb 14.

Prenatally diagnosed fetal conditions in the age of fetal care: does who counsels matter?

Author information

1
Department of Radiology, Children's Hospital Boston, Boston, MA 02115, USA. Stephen.brown@childrens.harvard.edu

Abstract

OBJECTIVE:

We sought to characterize practices and attitudes of maternal-fetal medicine (MFM) and fetal care pediatric (FCP) specialists regarding fetal abnormalities.

STUDY DESIGN:

This was a self-administered survey of 434 MFMs and FCPs (response rate: MFM 60.9%; FCP 54.2%).

RESULTS:

For Down syndrome (DS), congenital diaphragmatic hernia (CDH), spina bifida: MFMs were more likely than FCPs to support termination (DS 52% vs 35%, P < .001; CDH 49% vs 36%, P < .001; spina bifida 54% vs 35%, P < .001), and consider offering termination options as highly important (DS 90% vs 70%, P < .001; CDH 88% vs 69%, P < .001; spina bifida 88% vs 70%, P < .001). For DS only, MFMs were less likely than FCPs to think that pediatric specialist consultation should be offered prior to a decision regarding termination (54% vs 75%, P < .001). MFMs reported report higher termination rates among patients only for DS (DS 51% vs 21%, P < .001).

CONCLUSION:

MFM and FCP specialists' counseling attitudes differ for fetal abnormalities.

PMID:
22340943
DOI:
10.1016/j.ajog.2012.01.026
[Indexed for MEDLINE]

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