Antenatal cardiac counselling involves discussing with an expectant mother about potential cardiac issues that may affect her baby. Here’s how it typically goes:

1. Purpose: The main goal is to assess and communicate the risks and implications of any suspected or known cardiac conditions in the fetus.
2. Process: It usually starts with a detailed review of the mother’s medical history and any relevant family history. This helps in identifying any genetic predispositions or pre-existing conditions that could impact the baby’s heart.
3. Diagnostic Tests: Depending on the initial assessment, further diagnostic tests might be recommended, such as fetal echocardiography (ultrasound of the baby’s heart) or genetic testing. These tests can provide more detailed information about the baby’s heart health.
4. Implications: The counselor will explain the potential implications of any identified cardiac condition on the baby’s health and development. This may include discussing treatment options, the need for specialized care after birth, and long-term outcomes.
5. Support and Resources: Providing emotional support and connecting the mother with appropriate resources, such as pediatric cardiologists or support groups for parents of children with cardiac conditions, is crucial.
6. Decision Making: Ultimately, the mother and her healthcare team will discuss and make decisions based on the information provided. This may involve planning for delivery at a specialized center or arranging for immediate medical intervention after birth.
7. Follow-up: Continuous monitoring and follow-up appointments may be recommended to track the baby’s development and prepare for any necessary interventions.

The process is designed to ensure that the mother understands the situation fully, feels supported in her decision-making process, and can make informed choices regarding the care and management of her baby’s cardiac health.