The Roles and Responsibilities of the Neonatologist in Complex Fetal Medicine: Providing a Continuum of Care

Author:

Chock Valerie Y.12,Davis Alexis S.23,Hintz Susan R.12

Affiliation:

1. Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Stanford, CA.

2. The Center for Fetal and Maternal Health, Lucile Packard Children’s Hospital at Stanford, Palo Alto, CA.

3. Pediatrix Medical Group, San Jose, CA.

Abstract

Advances in prenatal imaging and genetic testing have increased the ability to diagnose fetal anomalies earlier in pregnancy and with greater accuracy and detail. These advances prompted the development of fetal interventions aimed at reducing mortality or significant long-term morbidity, thus ushering in a new era of fetal medicine and the creation of fetal centers. Despite these innovations, infants with congenital anomalies often require intensive care from the moment they are born, have lengthy initial hospitalizations, and require substantial continued care and services after discharge. The complexity and variety of fetal diagnoses underscore the importance of a multidisciplinary team approach beginning in fetal life, and the neonatologist is central to this collaborative effort. With a background in general pediatrics and neonatal-perinatal medicine, the neonatologist is uniquely positioned to contribute to the clinical operations of a fetal center, from counseling the expectant mother to directing a complex delivery room resuscitation, providing continuing care through the neonatal period, and preparing families for transitioning care through childhood.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

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