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Chapter 3 - Ethical Considerations for Maternal-Fetal Surgery

from Section 1

Published online by Cambridge University Press:  19 November 2021

By
David Guye Mann
Edited by
Olutoyin A. Olutoye
Olutoyin A. Olutoye
Affiliation:
Ann & Robert H. Lurie Children's Hospital of Chicago, Illinois
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Summary

The founding physicians of fetal surgery recognized that experimental procedures involving a fetus were morally sensitive and would require a formal review to assess their ethical justification. A Fetal Therapy Board (FTB) is one of the groups assembled to provide such formal ethical reviews; and as such, this group would logically have members representing certain medical/surgical specialties beyond the fetal surgeon. A framework to be used by a FTB as applied to the fetal status, the components of an ethical justification, and the informed consent process for fetal interventions is presented. In addition, some hypothetical examples of a FTB review are provided to highlight specific ethical dilemmas.

Keywords

Fetal InterventionFetal SurgeryMaternal-Fetal SurgeryEthicsBioethics
Type
Chapter
Information
Anesthesia for Maternal-Fetal Surgery
Concepts and Clinical Practice
 , pp. 37 - 44
Publisher: Cambridge University Press
Print publication year: 2021

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References

Harrison, MR, Filly, RA, Golbus, MS, et al. Fetal treatment 1982. N Engl J Med. 1982;307(26): 1651–1652.CrossRefGoogle ScholarPubMed
Post, LF. Bioethical consideration of maternal-fetal issues. Fordham Urban Law J. 1996;24(4):757–776.Google Scholar
Moaddab, A, Nassr, AA, Belfort, MA, Shamshirsaz, AA. Ethical issues in fetal therapy. Best Pract Res Clin Obstet Gynaecol. 2017;43:58–67.CrossRefGoogle ScholarPubMed
English, A, Bass, L, Boyle, AD, Eshrage, F. State Minor Consent Laws: A Summary. 3rd ed. Center for Adolescent Health & the Law;2010.Google Scholar
Chervenak, FA, McCullough, LB. Ethics of maternal-fetal surgery. Semin Fetal Neonatal Med. 2007;12(6):426–431.Google Scholar
Chervenak, FA, McCullough, LB. An ethically justified framework for clinical investigation to benefit pregnant and fetal patients. Am J Bioethics. 2011;11(5):39–49.Google Scholar
Chervenak, FA, McCullough, LB. Ethical issues in recommending and offering fetal therapy. Western J Med. 1993;159:396–399.Google ScholarPubMed
Lyerly, AD, Little, MO, Faden, RR. A critique of the “fetus as patient.” Am J Bioethics. 2008;8(7):42–44.CrossRefGoogle ScholarPubMed
Antiel, RM. Ethical challenges in the new world of maternal-fetal surgery. Semin Perinatol. 2016;40:227–233.Google Scholar
Department of Health and Human Services, National Institutes of Health, and Office for Human Research Protections. The Common Rule, Title 45 (Public Welfare), Code of Federal Regulations, Part 46 (Protection of Human Subjects). [Online] 13 May 2018. Available: https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.htmlGoogle Scholar

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