When the prenatal diagnosis of a lethal fetal anomaly has been established,
some patients choose to continue their pregnancy. Currently, there is a pa
ucity of medical literature addressing the specific management of families
in this unique circumstance. We propose a model of care that incorporates t
he strengths of prenatal diagnosis, perinatal grief management, and hospice
care to address the needs of these families. We discuss the identification
of candidates for this form of care; the multidisciplinary team approach;
and the aspects of antepartum, intrapartum, and postpartum care. Finally, w
e discuss some barriers that might need to be overcome when attempting to i
mplement perinatal hospice care.