Fetal MRIFetal MRINeurodevelopmental outcome and

parental perceptions of careNeurodevelopmental outcome and

parental perceptions of care

Introduction

Increasing use of fetal MRI in prenatal

diagnostics.

Fetal brain MRI is used for more

detailed assessment of fetuses with

sonographically suspected brain

abnormalities.

There is a scarcity of data on the neurodevelopmental outcome of

children who have undergone fetal MRI.

Complete scarcity of literature on the perception of parents who have

undergone fetal MRI, and recent studies have highlighted the need

for a prospective study to allow appropriate counseling.

Aims and Objectives

Calculate the number of fetal MRIs that resulted in TOP, IUFD, NND

and surviving infants.

Examine relationships between prenatal and postnatal MRI findings.

Examine the relationships between fetal MRI diagnosis and

subsequent neurodevelopmental outcome of surviving infants.

Explored parental views on the care and advice they were given when

referred for fetal MRI

MethodsETHICS

R & D

Identify subjects

Written consent

Access the child’s notes for any postnatal follow up

Examine relationships between the fetal MRI and any postnatal MRI

Assess the child's current neurodevelopmental outcome using the Ages and Stages Questionnaire (ASQ) 3rd edition.

Assess the parents’ perceptions of the fetal MRI process using a parental questionairre.

Results47 Fetal MRIs47 Fetal MRIs

10 Termination of 10 Termination of pregnancypregnancy 37 Continuation of 37 Continuation of

pregnancypregnancy

5 Intrauterine fetal 5 Intrauterine fetal deathsdeaths

32 Live births32 Live births

2 Neonatal death2 Neonatal death

30 Surviving 30 Surviving infantsinfants

VM 6

ACC 4

PF 2

MIXED 11

NAD 6

TOTAL 29

Discussion (in relation to previous work in the field)

Summary and Conclusions

Acknowledgements