What is the best approach when a patient expresses fear about a fetal anomaly?

• A. Sit at her bedside and allow expression.
• B. Provide a list of support resources.
• C. Immediately discuss prognosis.
• D. Refer to social worker without engaging.

Answer: (A)

When fear about a fetal anomaly is expressed, the most helpful move is to be present with the patient and give her space to express her thoughts and feelings. Sitting at her bedside shows you are with her in this moment, validates her emotions, and helps build trust. This kind of empathetic presence can reduce immediate distress and creates a safe environment for her to share what concerns her most—whether it’s prognosis, potential outcomes, the impact on family, or decision-making ahead.

From there, you can acknowledge her fears and invite any specific questions, which then guides how to proceed with information, support, and planning. Resources and referrals are important, but they are most effective after you’ve established a trusting, supportive dialogue. Rushing to prognosis or immediately routing to social work without first engaging her feelings can overwhelm her and undermine the care relationship.