Experience with a multidisciplinary antenatal diagnosis and management model in fetal medicine

Abstract

The MADAM model functions as a forum for exchange of up-to-date scientific information, development of evidence-based treatment protocols and continuity of care through the pre-, peri- and postnatal periods.

Iatrogenic Preterm Premature Rupture of Membranes after Fetoscopic Laser Ablative Surgery

“…These patients were referred to the Fetal Treatment Program of New England, a collaborative program between the Women and Infants Hospital, Hasbro Children's Hospital, and the Alpert Medical School of Brown University. It includes maternal-fetal medicine specialists, pediatric surgeons and neonatologists as well as other health professionals from more than 15 specialties [8]. The Fetal Treatment Program of New England maintains a comprehensive database of all patients who undergo fetoscopic laser surgery.…”

Decision-making after ultrasound diagnosis of fetal abnormality

“…Therefore, these difficult decisions are usually made by multidisciplinary teams [43][44][45][46][47]. These typically consist of obstetricians, neonatologists, paediatric surgeons and other paediatric specialists, such as paediatric urologists, paediatric neurologists and paediatric neurosurgeons [43][44][45][46][47].…”

Impact of decision‐making in a multidisciplinary perinatal team

“…Interestingly, we did not find systematic differences of preferences between specialties prior to the team discussions (Table 2). It can be questioned, therefore, to what extent the multidisciplinary team serves to attune disparate views between the different specialties (Lenard, 1995;Luks et al, 2003;Baldwin et al, 2004). In our study, most physicians attending the meetings were senior medical specialists who had already been involved with the perinatal team and its goal of multidisciplinary decision-making for several years.…”