Maternal-fetal surgery as part of pediatric palliative care.
Semin Fetal Neonatal Med
; 28(3): 101440, 2023 06.
Article
en En
| MEDLINE
| ID: mdl-37173213
ABSTRACT
Maternal-fetal surgical interventions have become a more common part of prenatal care. This third option, beside termination or post-natal interventions, complicates prenatal decision-making while interventions may be lifesaving, survivors may face a life with disability. Pediatric palliative care (PPC) is more than end of life or hospice care, it aims at helping patients with complex medical conditions live well. In this paper, we briefly discuss maternal-fetal surgery, challenges regarding counseling and benefit-risk evaluation, argue that PPC should be a routine part of prenatal consultation, discuss the pivotal role of the maternal-fetal surgeon in the PCC-team, and finally discuss some of the ethical considerations of maternal-fetal surgery. We illustrate this with a case example of an infant diagnosed with congenital diaphragmatic hernia (CDH).
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Terapias Fetales
/
Hernias Diafragmáticas Congénitas
Tipo de estudio:
Diagnostic_studies
Límite:
Child
/
Female
/
Humans
/
Infant
/
Pregnancy
Idioma:
En
Revista:
Semin Fetal Neonatal Med
Asunto de la revista:
PEDIATRIA
/
PERINATOLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Bélgica