ORIGINAL ARTICLE: PDF OnlyFetal and neonatal surgeryLanger, Jacob C. MDAuthor Information McMaster University, Hamilton, Ontario, Canada Current Opinion in Pediatrics: April 1991 - Volume 3 - Issue 2 - p 230-239 Buy Abstract Congenital anomalies are frequently diagnosed prenatally using ultrasound. Correct management requires an understanding of the natural history and pathophysiology of the individual lesion, as well as an appreciation of the ethical issues involved. Prenatal diagnosis provides an opportunity for parental preparation and counseling, and may lead to pregnancy termination; to a change in timing, mode, or location of delivery; or in some cases to prenatal intervention. This review outlines the current controversies surrounding prenatal and postnatal management of some of the more common anomalies, and addresses briefly several of the ethical issues involved. © Lippincott-Raven Publishers.