Resuscitation decisions in fetal myelomeningocele repair should center on parents’ values: a counter analysis
In our response to, “Parental request for non-resuscitation in fetal myelomeningocele repair: an analysis of the novel ethical tensions in fetal intervention” by Wolfe and co-authors, we argue that parental authority should guide resuscitation decision-making for a fetus at risk for preterm delivery...
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| Veröffentlicht in: | Journal of perinatology 2022-07, Vol.42 (7), p.971-975 |
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| container_title | Journal of perinatology |
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| creator | Kukora, Stephanie K. Fry, Jessica T. |
| description | In our response to, “Parental request for non-resuscitation in fetal myelomeningocele repair: an analysis of the novel ethical tensions in fetal intervention” by Wolfe and co-authors, we argue that parental authority should guide resuscitation decision-making for a fetus at risk for preterm delivery as a complication of fetal myelomeningocele (fMMC) repair. Due to the elevated morbidity and mortality risks of combined myelomeningocele, extreme prematurity, and fetal hypoxia, parents’ values regarding the acceptability of possible outcomes should be elicited and their preferences honored. Ethical decision-making in these situations must also consider the broader context of the fetal-maternal dyad. Innovations in fetoscopic approaches to fMMC repair may pose additional complexity to these resuscitation decisions. |
| doi_str_mv | 10.1038/s41372-022-01385-7 |
| format | Article |
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Due to the elevated morbidity and mortality risks of combined myelomeningocele, extreme prematurity, and fetal hypoxia, parents’ values regarding the acceptability of possible outcomes should be elicited and their preferences honored. Ethical decision-making in these situations must also consider the broader context of the fetal-maternal dyad. 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Due to the elevated morbidity and mortality risks of combined myelomeningocele, extreme prematurity, and fetal hypoxia, parents’ values regarding the acceptability of possible outcomes should be elicited and their preferences honored. Ethical decision-making in these situations must also consider the broader context of the fetal-maternal dyad. 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| ispartof | Journal of perinatology, 2022-07, Vol.42 (7), p.971-975 |
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| source | SpringerLink Journals |
| subjects | 692/700/3935 706/648/179 Cardiac arrhythmia Decision making Ethics Fetuses Gestational age Hypoxia Maternal effects Medical prognosis Medicine Medicine & Public Health Morbidity Newborn babies Parents & parenting Pediatric Surgery Pediatrics Perspective Premature babies Premature birth Repair Resuscitation Spina bifida Surgery Values |
| title | Resuscitation decisions in fetal myelomeningocele repair should center on parents’ values: a counter analysis |
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