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Ethics in prenatal consultation for surgically correctable anomalies and fetal intervention

Jessica Fry1, Ryan M Antiel2, Kelly Michelson3

  • 1Division of Neonatology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, United States; Northwestern University, Feinberg School of Medicine, United States.

Seminars in Pediatric Surgery
|October 12, 2021
PubMed

Insights

Pediatric surgeons are crucial for prenatal consultations regarding congenital anomalies requiring newborn surgery. Their multidisciplinary involvement enhances comprehensive fetal care, addressing complex diagnoses and ethical considerations for optimal outcomes.

Area of Science:

  • Pediatric Surgery
  • Maternal-Fetal Medicine
  • Neonatal Care

Background:

  • Prenatal diagnosis of congenital anomalies is advancing rapidly.
  • Multidisciplinary team involvement is key in managing fetal surgical conditions.
  • Complex postnatal care necessitates early surgical planning.

Purpose of the Study:

  • To highlight the essential role of pediatric surgeons in prenatal consultations.
  • To discuss the evolution of comprehensive fetal care.
  • To address ethical challenges in maternal-fetal surgery and neonatal prognosis.

Main Methods:

  • Review of the role of pediatric surgeons in prenatal consultations.
  • Analysis of the multidisciplinary approach in fetal care.
  • Discussion of clinical scenarios and ethical principles.

Main Results:

  • Pediatric surgeons are integral to prenatal evaluation, diagnosis, and planning.
  • Advances in fetal diagnostics and treatments expand care options.
  • Ethical dilemmas include surgical risks, benefits, and prognostic uncertainty.

Conclusions:

  • Pediatric surgeon involvement optimizes prenatal planning for congenital anomalies.
  • Comprehensive fetal care requires a multidisciplinary approach.
  • Ethical considerations are paramount in managing complex fetal surgical cases.

Keywords:
EthicsFetal surgeryPrenatal consultationPrenatally diagnosed anomaly

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