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Termination of Pregnancy for Fetal Anomaly

The Termination of Pregnancy for Fetal Anomaly (TOPFA) Pathway recognises that bereavement care is a continuing process and is provided by everyone who comes in contact with women and partners who are experiencing a loss.

The pathway provides dedicated, evidence based guidance covering

  • When a fetal anomaly is suspected
  • Next steps
    • Surgical termination
    • Medical termination
  • Marking the loss, making memories
  • After the loss
  • Before discharge
  • Support in the community
  • Next pregnancies
  • Staff care
  • Outcome measures
  • Useful contacts
  • Training and support resources

Further information

Download the TOPFA Pathway

Go to Training and support

Go to NBCP templates

Contact us

Please note the NBCP Scotland Pathways are being piloted with Early Adopter NHS Boards and the pathways will continue to develop in the light of Early Adopters’ experiences.Find out about Early Adopters

Beareavement Care Standards

Find out the standards NHS Boards need to meet to be considered to be providing good bereavement care.


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