Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

With increasing ability to diagnose fetal anomalies, it is imperative that parents receive appropriate counselling to reach their decision. The aim of this study was to evaluate the fetomaternal-surgical clinic held jointly by an obstetrician and a paediatric surgeon. At this monthly clinic the patients are first scanned by the consultant fetomaternal specialist in the presence of a consultant paediatric surgeon and subsequently counselled jointly in an adjacent quiet room. Other specialists such as geneticist and neonatologists provided further counselling where needed. All 43 parents who attended this clinic in the year 2005 were included in this study and were counselled by the same paediatric surgeon. A questionnaire was designed to assess the different aspects of service provided by this clinic. In this study the diagnosis was changed in 3 (7%) babies, 2 (4.6%) parents miscarried and 1 (2.3%) neonatal death occurred, unrelated to the surgical anomaly. The site of delivery was changed in 20 (48%) patients and the mode of delivery in 7 (10%). All 43 (100%) parents were satisfied with the fetal counselling, eight patients (18.6%) felt increased anxiety post-counselling and 95% had a better understanding of their unborn babies condition after counselling. Two (4.6%) parents decided to terminate the pregnancy due to complex fetal abnormalities, and 31 (72%) felt they understood the future pregnancy risks. Fifty-six per cent of parents felt that further counselling from religious person should be offered.

Original publication




Journal article


Pediatr Surg Int

Publication Date





391 - 394


Congenital Abnormalities, Female, Genetic Counseling, Humans, Obstetrics, Outcome Assessment, Health Care, Parents, Patient Care Team, Pediatrics, Pregnancy, Prenatal Diagnosis, Surveys and Questionnaires