title: Pediatric perspective on prenatal counseling for myelomeningocele.
abstract: BACKGROUND
  Over the past 35 years, advances in the prenatal diagnosis of spina bifida using ultrasound and laboratory testing have increased the number of patients seeking prenatal counseling.
  
  
  METHODS
  Traditionally, this counseling has been provided by practitioners with little direct experience in the care of individuals with spina bifida across their life span.
  
  
  RESULTS
  Physicians experienced in the care of children with spina bifida are able to provide information that is not available from other sources.
  
  
  CONCLUSIONS
  This review provides a broad overview of many of the issues encountered during prenatal counseling sessions and emphasizes the additional value of the pediatric perspective during the process of informed decision making or preparation for an the birth of an affected child.
authors.affiliation: Department of Pediatrics, University of Washington, Seattle, Washington 98195, USA. ddoher@u.washington.edu
authors.forename: Daniel
authors.initials: D
authors.lastname: Doherty
authors.forename: David B
authors.initials: DB
authors.lastname: Shurtleff
mesh_terms: D003376:Counseling; D006801:Humans; D011295:Prenatal Care; D012008:Recurrence; D012307:Risk Factors; D016135:Spinal Dysraphism / Q000150:complications* / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy*