Fetal Pathology: Perinatal Diagnosis and Management


SKU: ESO.591


  • The advances that are being made in the evaluation of the foetus are modifying the diagnostic and therapeutic possibilities, allowing a progressive refinement of the diagnosis of congenital anomalies. This makes continuous updating essential for a correct and complete estimation of the prognosis and clinical management of the problems detected in accordance with the available evidence and the most recently accepted lines of action by international foetal medicine and therapy groups. The updating of care protocols or the decision to follow an algorithm of action for certain pathological situations must be the result of the analysis of the latest available data. The course is structured to achieve this fundamental objective. Fetal pathologies are presented according to a common presentation scheme, with abundant iconography and illustrative videos, followed by discussion between experts and attendees in order to delve deeper into the most advanced and/or controversial aspects, so that the key points of diagnosis and management can finally be established according to the current evidence, in a concise and clinical practice-oriented manner.

More information


Module 1: Anomalies suitable for postnatal surgery

  1. Pulmonary anomalies: Congenital bronchopulmonary malformations. O. Gómez.
  2. Abdominal Wall defects. M. Bennasar
  3. Gastrointestinal anomalies. M. Bennasar.
  4. Neufrourologic anomalies: upper urinary tract dilation. V. Borobio.
  5. Fetal tumors, EXIT surgery. JM. Martínez.
  6. CNS anomalies. Ventriculomegaly. E. Eixarch.

Module 2. Pathology of multiple gestation

  1. Monochorionic twin pregnancy: complications a) TTTs, b) sIGUR, c) TRAP, d) TAPS. E. Gratacós.
  2. Multifetal pregnancy: triplets/more management and discordant anomaly. JM. Martínez.

Module 3. Anomalies suitable for fetal therapy

  1. Thoracic anomalies: a) Congenital diaphragmatic hernia, b) hydrothorax, c) CHAOS. O. Gómez.
  2. Cardiac intervention. Aortic and pulmonary valvuloplasty. Atrioseptostomy. JM. Martínez.
  3. Myelomeningocele. B. Puerto.URL
  4. Low urinary tract obstruction or dilation (LUTO). JM. Martínez.
  5. Fetal anemia. Intrauterine transfusion. Alloimmune thrombocytopenia. A. Borrell.
  6. Polyhydramnios. Amniotic drainage. F. Crispi.URL

Module 4. Other fetal pathology

  1. Placental accretism. M. López
  2. Genetic anomalies in fetal pathology. Genetic diagnosis. A. Borrell.


Course beggining and duration

From 2022, June 4th to 2023, June 3rd. Inscription will close on 2023, March 6th.

The student will have access from the moment he/she purchases the course until the deadline for the publication of the course.

Adressed to:

The course is aimed at Obstetrics and Gynaecology specialists and residents working in both hospital and primary care settings.

Course objectives

The general objectives are to identify the different types of most frequent foetal pathologies. To know how to diagnose them, the complementary studies to be carried out, the perinatal and postnatal prognosis, the possibility of prenatal therapy and the necessary postnatal treatments. The specific objectives are:

– Prenatal ultrasound diagnosis of foetal malformations and pathologies, key points for differential diagnosis.

-Study protocols for each pathology, including complementary tests.

-Current criteria for establishing postnatal prognosis. Protocols for ultrasound and clinical follow-up.

-Present and future indications and current results of foetal therapy.

-Delivery planning and obstetric conduct.


The student must learn to interpret the main ultrasound guidance signs of the different foetal malformations. They must know how to guide postnatal treatment and treatment by foetal surgery if necessary. In order to acquire this knowledge, you will have theoretical classes grouped by subject, presentation of real clinical cases diagnosed and treated in our unit. Presentation of videos of the different foetal surgeries currently available. At the end there will be an evaluation by means of an examination consisting of different real clinical cases presented as videos with multiple-choice questions. A 70% of correct answers is required to pass.


The presentation of the topics will be structured on the basis of problem solving through the essential theoretical content. The development of each topic will follow a clinical outline and will use images and videos. At the end of the presentations, the student can obtain a certificate of completion of the theoretical training and pass the knowledge acquisition test. Once the knowledge has been acquired and in order to obtain the certificate, a multiple-choice test must be taken. For the validation test you have 3 attempts and must answer 70% of the answers correctly. Each time you enter the test, even if you do not answer any questions, it counts as an attempt.

Access to the course:

The student will have access from the moment he/she purchases the course until the deadline for the publication of the course.

To access the course you must log in to the Virtual Campus with your username and password.


This course offers a certificate of achievement from Fetal I+D Education Barcelona.

Teaching Team


Dr. Eduard Gratacós / Dr. JM. Martínez


The teaching staff is made up of interdisciplinary medical specialists with extensive experience in the field of perinatal infections, mostly from BCNatal and Hospital Clínic de Barcelona.