Background: The major cause of death in both industrialized and developing nations is congenital 
abnormalities, which pose a public health risk. Aim: To investigate the effect of video-assisted 
counseling program on pregnant women's knowledge and practice towards congenital anomalies.
Design:Quasi-experimental design (pre-post) was used to achieve the aim of this study. Setting: 
This study was applied in the antenatal clinic at Zagazig University Hospital. Sample: A 
purposive sample of 70 pregnant women (one group pretest and posttest) who attending the 
antenatal clinic and detected fetal anomalies. Four tools were used for data collection: (1) A 
structured interviewing questionnaire, (2) Pregnant women knowledge assessment sheet, (3)
Pregnant women attitude assessment sheet and (4) Pregnant women practice assessment sheet.
Results: This study found a highly significant difference between study participants' knowledge, 
attitudes, and practices about congenital anomalies before and after a video-assisted counseling 
program. Conclusion: Their knowledge, attitude, and practice have all improved as a result of the 
implementation of a video-assisted counselling program for pregnant women with congenital 
anomalies. Recommendation: ongoing counseling programs regarding congenital anomalies 
during pregnancy to all pregnant women, and replication of the study with a large sample size to
further settings.