Fetal Intervention and Fetal Care Centers  

Oleh:

Leuthner, Steven R.

Jenis: Article from Books - E-Book
Dalam koleksi: Clinical Ethics in Pediatrics A Case-Based Textbook, page 57-62.
Topik: Fetal Intervention; Fetal Care; Ethical Issues
Fulltext: Fetal intervention and fetal care centers.pdf (125.49KB)

Isi artikel

Historically, promoting fetal well-being was not a separate endeavor from promoting maternal well-being. New imaging and sampling techniques now enhance our ability to help a woman help her fetus, and, when necessary, directly intervene with the fetus in the womb (Harrison, 2001 ). Some interventions are offered and recommended as preventive measures in obstetrical offices (i.e., prenatal folic acid), others are routinely provided in labor and delivery suites (i.e., antenatal antibiotics), still others are routine in perinatal specialty care (i.e., antiviral therapy). But with the development of fetal care centers, more invasive medical or surgical procedures, such as antiarrhythmics, an EXIT (ex-utero intrapartum therapy) procedure, or a skilled minimally invasive or open fetal surgery, have become possible. The difference between these newer more invasive procedures and the others seems to lie in the benefit/burden ratios to the fetus and pregnant woman. Three cases will be used to explore the ethical issues that arise from the fetal interventions performed in fetal care centers.

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