A hydrocephalic drainage valve for in utero treatment of hydrocephalic fetuses comprising a hollow valve element shank with a pointed conical tip adapted to penetrate the skull of a fetus in utero, said shank having an intake port upwardly adjacent to said conical tip, a ball check valve in the hollow of said shank, spring means above said ball check valve and urging said ball check valve toward said intake port, a hollow set screw adjustably mounted in said shank above said spring means to vary the biasing force on said ball check valve, and means adjustable along said shank for operatively securing the shank in an implanted position in a fetal head with the intake port exposed in the cranial vault thereof whereby when fluid in the fetal cranium exceeds a predetermined amount, it drains therefrom through said drainage valve into the uterus.