Referring a patient outside your care is an act of trust. We take this responsibility very seriously and welcome a partnership with you to confirm your patient's diagnosis, establish a care plan based on that diagnosis, and communicate regularly with you about your patient's treatment. We’ve developed a variety of resources designed to give you and your patients all the information and support you need.
If you have any questions about these resources, training opportunities, or ways we can help your patients, please don’t hesitate to reach us by phone or by using our online contact form.
- Referral guidelines
Referring a Patient to the CFDT
If you are a physician or patient seeking an evaluation for a suspected fetal abnormality, the Center for Fetal Diagnosis and Treatment is here to help. Learn more about the information we’ll need from you and what happens next.
Fetal Surgery Guidelines for Prenatal MMC Repair
Mothers must meet specific requirements to be considered for fetal surgery for myelomeningocele, the most severe form of spina bifida. The Children's Hospital of Philadelphia follows these guidelines to determine who qualifies for prenatal repair.
Guidelines for Prenatal Treatment of Severe Congenital Diaphragmatic Hernia
Fetoscopic endoluminal tracheal occlusion (FETO) is offered as part of a clinical research study for unborn babies with the most severe congenital diaphragmatic hernia. Enrollment in this study is reserved for cases in which our team predicts the baby may not otherwise survive past delivery. Learn more about the circumstances in which FETO may or may not be offered.
Referral Guidelines for Stage 1 Twin-Twin Transfusion Syndrome Trial
The Children’s Hospital of Philadelphia is participating in a randomized controlled trial comparing conservative management and selective laser photocoagulation (SLPC) surgery in stage 1 twin-twin transfusion syndrome (TTTS). SLPC will be offered within 72 hours if a patient is randomized into the laser group. Find detailed referral guidelines for physicians.
- Case studies
The following case studies examine the implications of specific diagnoses in a developing fetus, presented by the Center for Fetal Diagnosis and Treatment at CHOP.
- Abdominal Wall Defect Case Study
- Fetal Lower Urinary Tract Obstruction (LUTO) Case Study
- Fetal Sacrococcygeal Teratoma (SCT) Case Study
- Fetal Surgery for Pericardial Teratoma
- Fetal Surgery for Spina Bifida Case Study
- Gender Discrepancy Case Study
- Thoracoscopic Lobectomy for Asymptomatic CCAM
- Twin Reversed Arterial Perfusion (TRAP) Sequence Case Study
- Twin-twin Transfusion Syndrome (TTTS) Case Study
- Condition-specific resources
In these condition-focused physician toolkits you'll find resources for clinicians seeking information about the evaluation and management of specific diagnoses in a developing fetus.
The following list of fetal treatment and fetal surgery publications will help you in your search for more information. Most are written by members of the Center for Fetal Diagnosis and Treatment team at The Children's Hospital of Philadelphia. Find publications about:
- Abdominal wall defects
- Congenital diaphragmatic hernia (CDH)
- Congenital heart disease
- Congenital hyperinsulinism
- Ex utero intrapartum treatment (EXIT)
- General fetal medicine
- Giant neck mass
- Pediatric surgery
- Fetal surgery for spina bifida
- Fetal wound healing
- Complicated twin pregnancies
- Fetal lung lesion and airway
- Fetal gene therapy
- Fetal stem cell transplantation
- Fetal tumors
- Fetal intervention for obstructive uropathy
- Prenatal diagnosis
- Sacrococcygeal teratoma (SCT)
Our print newsletter, In Utero Insights, keeps you informed about clinical and research advances at the Center that may be of interest to you in the management of your patients. Contact us if you'd like to receive a copy of our latest newsletter or subscribe to future issues.
Our electronic newsletter, In Utero Insider, is a quarterly email update to keep you informed on the latest research, upcoming events and other timely topics. Sign up to receive our e-newsletter »
- Training and fellowships
The Center offers two educational programs to maternal-fetal medicine specialists interested in learning more about the investigation and management of fetal disease.
Prenatal Diagnosis and Fetal Therapy Fellowship
As a fellow at the Center for Fetal Diagnosis and Treatment at The Children’s Hospital of Philadelphia, you will learn from some of the most experienced leaders and innovators in prenatal diagnosis and fetal interventions. Our team's collective experience in prenatal diagnosis and fetal interventions is among the largest in the world.
Maternal-fetal Medicine Fellows in Training
As a maternal-fetal medicine fellow in training at the Center for Fetal Diagnosis and Treatment at The Children’s Hospital of Philadelphia, you have the opportunity to learn from leaders in maternal-fetal therapy and treatment during a 1-month elective in prenatal diagnosis and fetal therapy.
- Continuing medical education and conferences
The Center for Fetal Diagnosis and Treatment offers a variety of continuing medical education (CME) events for professionals interested in learning more about specific fetal conditions and surgical interventions.
- Our library of fetal medicine online CMEs covers a wide variety of diagnosis-specific topics
- We host multidisciplinary conferences and dinner lectures
- Our faculty and staff serve as guest lecturers and presenters at grand rounds and professional conferences throughout the year
Find additional details about upcoming conferences and events below.
Society for Maternal-Fetal Medicine 36th Annual Pregnancy Meeting
Feb. 1-6, 2016, in Atlanta
Several members of our team will be attending the SMFM 36th Annual Pregnancy Meeting. Stop by our booth #114-115 to say hello. We’ll also be participating in a variety of conference events, including symposium presentations, scientific forums, workshops, and presenting research at poster sessions.
Monday, Feb. 1
Embryologic Basis of Fetal Anomalies, Diagnosis and Management
- Fetal Chest Anomalies: Embryology, Diagnosis and Management (CDH, CPAM and more) — Nahla Khalek, MD
Tuesday, Feb. 2
- Advances in Fetal Echocardiography, co-sponsored by the International Society of Ultrasound in Obstetrics and Gynecology
- Abnormal Cardiac Chambers I: Hypoplastic Left Heart Syndrome — Jack Rychik, MD
- Aortic Arch Abnormalities — Jack Rychik, MD
- NAFTNet Fetal Therapy Update: Diagnosis, Evaluation and Management
- Current State of Fetal Myelomeningocele Repair — Julie Moldenhauer, MD
Wednesday, Feb. 3
- Maternal-Fetal Surgery: Innovations in Fetal Therapy (Forum Leader — Julie Moldenhauer, MD)
- Toward Physiologic Support of the Extreme Premature Infant: How Close Are We? — Alan Flake MD
- Kicking It Old School: Exploring New Applications for Medical Education in MFM — Nahla Khalek, MD
Saturday, Feb. 6
Poster Session V — 11:30 a.m., Hilton Atlanta, Galleria Exhibit Hall
- Impact on Family and Parental Stress of Prenatal versus Postnatal Repair of Myelomeningocele — Authors: Ryan M. Antiel and Amy J. Houtrow for the Eunice Kennedy Shriver NICHD MOMS Trial Study Group, Bethesda, Md.
- Outcomes in Monochorionic Twin Pregnancies Affected by Selective Intrauterine Growth Restriction: Radiofrequency Ablation Versus Expectant Management — Authors: Nahla Khalek, A. Villa, C. Getrajdman, D. Kennedy, J.S. Moldenhauer, M.P. Johnson
Feb. 24-28, 2016, Loews Royal Pacific Resort in Orlando, FL
The 19th Annual Update on Pediatric and Congenital Cardiovascular Disease, hosted by CHOP’s Cardiac Center, is a comprehensive post-graduate course for pediatric cardiologists, intensivists, surgeons, nurses, neonatologists, anesthesiologists, ACHD specialists, sonographers, perfusionists, and all those involved in the care of patients with pediatric and congenital cardiovascular disease. Representatives from many CHOP programs will be presenting on topics related to fetal cardiovascular care. Find conference details.
AIIUM 2016 Annual Conference
March 17-21, 2016, New York Hilton Midtown, New York, NY
- Volumes and outcomes
Because of the high volume of patients we see with the full spectrum of congenital anomalies, we are well-equipped to manage these complex conditions. This experience helps us achieve optimal patient outcomes. We are committed to providing volumes and outcomes data to help both our professional partners and patient families in their search for more information.
Center for Fetal Research
The Center for Fetal Research is the research extension of the Center for Fetal Diagnosis and Treatment at The Children's Hospital of Philadelphia. Our investigators pursue basic and translational research to develop optimal prenatal treatment strategies for a wide variety of genetic and acquired disorders.
Prenatal sickle cell disease research
A pioneering procedure that would transplant a mother’s bone marrow stem cells into her developing fetus while the child is still in the womb has the potential to cure sickle cell disease before the baby is even born. Learn more about our prenatal sickle cell disease research.
Fetal Neuroprotection and Neuroplasticity Program
Building on the growing evidence of the interaction between congenital heart disease and brain development during the prenatal period, The Children’s Hospital of Philadelphia's Fetal Neuroprotection and Neuroplasticity Program investigates innovative prenatal therapies to protect fetal brain development and prevent brain injury as early as possible before birth.