Advances in maternal fetal medicine practice

Maternal fetal medicine (MFM) is a subspecialty of obstetrics that focuses on identified risk pregnancies. The role includes obstetric ultrasound for fetal assessment and diagnosis of anomalies, invasive prenatal diagnosis and management of pregnancies complicated by maternal medical disorders, mult...

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Bibliographic Details
Published in:Journal of paediatrics and child health 2012-11, Vol.48 (11), p.955-962
Main Authors: Tan, Woo Syong, Guaran, Robert, Challis, Daniel
Format: Article
Language:English
Subjects:
Disabilities
Education, Medical, Continuing
Female
fetal
Fetal Development - physiology
Fetal Diseases - diagnosis
Fetal Diseases - diagnostic imaging
Fetal Diseases - genetics
Fetuses
Hospitals
Humans
Intervention
Lasers
Neonates
obstetric
Obstetrics
Perinatal care
Pregnancy
Pregnancy Complications - prevention & control
Prenatal Care
Prenatal development
prenatal diagnosis
Prenatal experience
Risk factors
Specialization
therapy
Transfusion
Ultrasonography
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Summary:Maternal fetal medicine (MFM) is a subspecialty of obstetrics that focuses on identified risk pregnancies. The role includes obstetric ultrasound for fetal assessment and diagnosis of anomalies, invasive prenatal diagnosis and management of pregnancies complicated by maternal medical disorders, multiple fetuses and the antenatal management of extreme prematurity. Skill specialisation within MFM includes fetal interventions such as fetal shunting procedures, intrauterine transfusion, fetoscopic laser photocoagulation of anastomotic vessels for twin to twin transfusion syndrome and ex utero intrapartum treatment. MFM specialists are actively involved in clinical and basic science research to improve maternal and neonatal outcomes. Most Australian MFM specialists are associated with metropolitan teaching hospitals. MFM sub‐specialisation has reduced the impact of disability associated with aneuploidy, structural anomalies, multiple pregnancy and extreme prematurity. Management aims are to give families timely counselling, appropriate intervention, and optimisation of the time and location of delivery. The aim of this paper is to update the reader regarding current advances in MFM practices.
ISSN:1034-4810
1440-1754
DOI:10.1111/j.1440-1754.2012.02596.x