As the field of fetal-neonatal neurology has expanded over the past 2 decades with increasingly complex diagnoses, multidisciplinary collaboration with many subspecialties including genetics, neonatology, obstetrics, maternal fetal medicine, surgical sub-specialties, cardiology, radiology, palliative care, and ethics has needed to evolve to strive to offer optimal patient care. While comprehensive care delivery with an inter-disciplinary approach is preferred, there are often barriers based on numerous health disparities especially in resource limited settings. Even in the context of comprehensive care, diagnostic and prognostic uncertainty lead to challenges for providers during fetal neurology consultations. We present a case that highlights advantages of a comprehensive multi-disciplinary team in caring for the medical and social challenges of patients faced with a fetal neurologic diagnosis. Inter-disciplinary training focusing on maternal, fetal, neonatal, and childhood neurodevelopmental course and collaboration among the numerous stakeholders that contribute to fetal neurology practice is needed to provide optimal counseling and care for families faced with a fetal neurological diagnosis.

中文翻译：

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跨学科胎儿神经病学护理：当前实践、挑战和未来方向

随着胎儿-新生儿神经病学领域在过去20年中不断扩大，诊断日益复杂，与许多亚专科的多学科合作包括遗传学、新生儿学、产科、母胎医学、外科亚专科、心脏病学、放射学、姑息治疗和伦理学需要不断发展以努力提供最佳的患者护理。虽然采用跨学科方法的综合护理服务是首选，但由于众多的健康差异，尤其是在资源有限的环境中，往往存在障碍。即使在综合护理的背景下，诊断和预后的不确定性也会给胎儿神经病学咨询期间的提供者带来挑战。我们提出的一个案例强调了综合性多学科团队在照顾面临胎儿神经系统诊断的患者的医疗和社会挑战方面的优势。需要关注孕产妇、胎儿、新生儿和儿童神经发育课程的跨学科培训，以及促进胎儿神经学实践的众多利益相关者之间的合作，以便为面临胎儿神经学诊断的家庭提供最佳的咨询和护理。