How the Fetal Care and Treatment Center Is Focused on Expanding Services and Close-to-Home Care: A Q&A With Drs. Bettina Paek, Martin Walker and Bhawna Arya

Maternal-fetal surgeons Drs. Bettina Paek and Martin Walker review a patient’s scan.
Last year, Seattle Children’s brought on board renowned fetal intervention specialists Drs. Bettina Paek and Martin Walker to lead Seattle Children’s and UW Medicine’s new Maternal Fetal Intervention and Surgery program alongside Dr. Rebecca Stark. As members of the Fetal Care and Treatment Center at Seattle Children’s, they are part of a multi-disciplinary team that offers fetal diagnosis and treatment and helps parents understand what to expect after their child is born. The team includes more than four dozen specialists in maternal-fetal medicine, neonatology, cardiology, urology, nephrology, neurology, otolaryngology, craniofacial, surgery, genetics, and radiology.
Over the last year, the Center performed 2,449 fetal echocardiograms across the WAMI region, more than any other provider group in the Pacific NW, with more than 99% accuracy of prenatal diagnosis of major heart conditions. Drs. Paek and Walker performed 34 laser ablation procedures for twin-to-twin transfusion syndrome (TTTS) at the University of Washington Medical Center Montlake Campus (UWMC), with dual survival for more than 90% of the procedures (compared to a national average of 60%).

Pediatric cardiologist Dr. Bhawna Arya, director of Fetal Diagnosis, reviews a scan with a patient.
Our Congenital Diaphragmatic Hernia Program (CDH) team, led by Dr. Rebecca Stark, diagnosed 16 babies with CDH who required newborn surgery and achieved over a 90% average survival rate, again significantly higher than the national average.
We spoke with Drs. Walker and Dr. Paek, as well as with Dr. Bhawna Arya, who leads Seattle Children’s fetal diagnosis program with Dr. Edith Cheng and fetal cardiology, to hear about what is coming in 2023 and answer questions commonly asked by community providers.