Lawrence Anne K, Menzel Margaret B, Bulas Dorothy I
Fetal Medicine Institute, Children's National Health System, 111 Michigan Ave. NW, Suite M3118, Washington, DC, 20010, USA.
Department of Pediatrics, George Washington University, Washington, DC, USA.
Pediatr Radiol. 2016 Feb;46(2):172-6. doi: 10.1007/s00247-015-3448-z. Epub 2016 Jan 29.
Fetal abnormalities are present in 3-5% of all pregnancies, leading to increased anxiety and the need for important discussions between patients and their care providers. Regardless of the severity of the anomaly, receiving the information can be traumatic for the pregnant patient and her partner. Most physicians who aren't trained to provide prenatal counseling understandably feel uncomfortable with the uncertainty and complex issues that arise in such high-stress counseling sessions. Genetic counselors are specifically trained to counsel patients in the setting of a fetal abnormality; however additional input from pediatric radiologists and other pediatric specialists is invaluable to parents in these situations and such input is an essential part of a team approach to prenatal counseling. The goal of this article is to provide a basic approach to counseling in the prenatal setting for pediatric radiologists and other specialists.
胎儿异常存在于所有妊娠中的3%至5%，这会导致焦虑加剧，患者及其医护人员之间需要进行重要的讨论。无论异常的严重程度如何，对于孕妇及其伴侣来说，接收相关信息都可能造成精神创伤。大多数未接受过产前咨询培训的医生，面对这种高压力咨询过程中出现的不确定性和复杂问题，感到不自在是可以理解的。遗传咨询师经过专门培训，能够在胎儿异常的情况下为患者提供咨询；然而，在这些情况下，儿科放射科医生和其他儿科专家的额外意见对父母来说非常宝贵，并且这种意见是产前咨询团队方法的重要组成部分。本文的目的是为儿科放射科医生和其他专家提供一种产前咨询的基本方法。
