**5.1 Prenatal counselling to parents**

Prenatal counseling is provided after a comprehensive assessment is made with the information obtained via advanced genetic testing, radio imaging and individualized prognosis based risk stratification. It is performed by a team that is experienced in the pre and postnatal management of CDH. A multidisciplinary approach in counseling the parents by specialists from obstetrics, neonatology, pediatric surgery, genetics and radiology is of paramount value and should be undertaken. It is imperative that an accurate prediction of the outcome is made. The goal is to help the parents in making crucial decision on the options such as, termination of pregnancy (TOP), fetal intervention and expectant management. It also provides guidance for the postnatal management of CDH. Once prenatally diagnosed, mothers should be referred to a tertiary care center that provides expertize in the pre and postnatal management of the neonatal disease.
