ABSTRACT

You are the registrar in the Department of Obstetrics & Gynaecology. Mrs Ruth Barker, aged 28 years and pregnant for the first time, is having a scan at 16 weeks’ gestation following a raised serum alpha-fetoprotein (AFP) result. The radiographer has detected that the fetus has anencephaly and has called you in, as the patient is booked under your consultant’s care. You agree with her observations and have been asked to counsel Mrs Barker about these findings.