Lorenz R P, Kuhn M H
Department of Obstetrics and Gynecology, William Beaumont Hospital, Royal Oak, MI 48072.
Am J Obstet Gynecol. 1989 Aug;161(2):263-6. doi: 10.1016/0002-9378(89)90495-x.
Prenatal management of fetal anomalies requires a cooperative effort of the family, obstetrician, ultrasonographer, neonatologist, pediatric subspecialists, nursing staff, geneticists, and social workers. Our approach to these patients is to convene all team members and the family shortly after an anomaly is identified to review the diagnosis, prognosis, plans, and alternatives. Team counseling offers a clear definition of the problem, avoids unnecessary confusion and anxiety for the family, and provides a supportive environment during this family crisis. Our experience with 28 families has been favorable and is described herein.
胎儿异常的产前管理需要家庭、产科医生、超声检查医师、新生儿科医生、儿科专科医生、护理人员、遗传学家和社会工作者的共同努力。我们对这些患者的处理方法是在发现异常后不久召集所有团队成员和家庭，以审查诊断、预后、计划和替代方案。团队咨询能明确问题的定义，避免家庭产生不必要的困惑和焦虑，并在这场家庭危机期间提供一个支持性的环境。我们与28个家庭的经验是良好的，在此进行描述。
