Moon-Grady Anita J, Baschat Ahmet, Cass Darrell, Choolani Mahesh, Copel Joshua A, Crombleholme Timothy M, Deprest Jan, Emery Stephen P, Evans Mark I, Luks Francois I, Norton Mary E, Ryan Greg, Tsao Kuojen, Welch Ross, Harrison Michael
The Fetal Treatment Center, UCSF Benioff Children's Hospital, University of California San Francisco, San Francisco, CA, USA.
Fetal Diagn Ther. 2017;42(4):241-248. doi: 10.1159/000475929. Epub 2017 May 23.
More than 3 decades ago, a small group of physicians and other practitioners active in what they called "fetal treatment" authored an opinion piece outlining the current status and future challenges anticipated in the field. Many advances in maternal, neonatal, and perinatal care and diagnostic and therapeutic modalities have been made in the intervening years, yet a thoughtful reassessment of the basic tenets put forth in 1982 has not been published. The present effort will aim to provide a framework for contemporary redefinition of the field of fetal treatment, with a brief discussion of the necessary minimum expertise and systems base for the provision of different types of interventions for both the mother and fetus. Our goal will be to present an opinion that encourages the advancement of thoughtful practice, ensuring that current and future patients have realistic access to centers with a range of fetal therapies with appropriate expertise, experience, and subspecialty and institutional support while remaining focused on excellence in care, collaborative scientific discovery, and maternal autonomy and safety.
三十多年前，一小群活跃于他们所谓“胎儿治疗”领域的医生和其他从业者撰写了一篇观点文章，概述了该领域的现状以及预期的未来挑战。在这期间，孕产妇、新生儿和围产期护理以及诊断和治疗方式都取得了许多进展，但尚未发表对1982年提出的基本原则的深入重新评估。当前的努力旨在为胎儿治疗领域的当代重新定义提供一个框架，并简要讨论为母亲和胎儿提供不同类型干预措施所需的最低限度专业知识和系统基础。我们的目标是提出一种观点，鼓励深思熟虑的实践发展，确保当前和未来的患者能够切实地接触到具备一系列胎儿治疗专业知识、经验、亚专业和机构支持的中心，同时始终专注于优质护理、合作性科学发现以及孕产妇的自主权和安全。
