Termination of Pregnancy for Fetal Anomaly pathway
Often referred to as TFMR (Termination for Medical Reasons), the TOPFA pathway has been written by ARC (Antenatal Results and Choices) and the NBCP Core Partners. It was most recently updated in September 2025.
This document has been prepared to assist all healthcare professionals and staff who are involved in the care of parents terminating a pregnancy because of a fetal anomaly or for medical reasons.
Two versions are available here – a longer document with much greater detail and a shorter, quick reference document which contains the same sections but in less detail.
These pathways were updated for use in England in September 2025. Please disregard previous versions.
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