Personal and medical decisions after learning that a fetus has a birth defect

Women who learn that they are carrying a fetus with a serious birth defect are faced with difficult decisions. Facing such decisions requires as much information as possible and attention to many factors. These include your own and your partner's preferences and the specific type of problem the fetus has. For example, you may want to consider:

  • Whether to continue the pregnancy or end it. If the fetus has a severe defect, some women choose to end the pregnancy with a therapeutic abortion. Others want time to prepare themselves and their families for the birth of a child who has a birth defect.
  • Where to have the baby. If the fetus has a defect that will require surgery, it is best to deliver at a hospital that offers surgical services for newborns.
  • Whether to have a vaginal delivery or to plan a caesarean delivery (C-section), based on the fetus's condition.


Author: Shannon Erstad, MBA/MPH
Carrie Henley
Last Updated: May 29, 2007
Medical Review: Anne C. Poinier, MD - Internal Medicine
Kirtly Jones, MD - Obstetrics and Gynecology
Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology

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