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Clin Perinatol. 2009 Jun;36(2):237-46, vii-viii. doi: 10.1016/j.clp.2009.03.002.

Ethics of fetal surgery.

Author information

  • 1Department of Obstetrics and Gynecology, New York Weill Cornell Medical Center, New York Presbyterian Hospital, New York, NY 10065, USA. fac2001@med.cornell.edu

Abstract

This article provides a comprehensive approach to the ethics of clinical investigation of fetal surgery. Investigators should address the initiation and assessment of clinical trials to determine whether they establish a standard of care and use an appropriate informed consent process to recruit and enroll subjects, consider whether selection criteria should include the abortion preferences of the pregnant woman, and consider whether physicians have an obligation to offer referral to such investigation. This approach is comprehensive because it takes account of the physician's obligations to the fetal patient, the pregnant woman, and future fetal and pregnant patients. The comprehensive approach to the ethics of fetal surgery is applied to the example of in utero surgical management of spina bifida.

PMID:
19559318
DOI:
10.1016/j.clp.2009.03.002
[PubMed - indexed for MEDLINE]
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