Division of Neonatology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, United States; Northwestern University, Feinberg School of Medicine, United States.
Division of Pediatric Surgery, Riley Children's Hospital, Department of Surgery, Indiana University School of Medicine, United States.
Semin Pediatr Surg. 2021 Oct;30(5):151102. doi: 10.1016/j.sempedsurg.2021.151102. Epub 2021 Sep 4.
Pediatric surgeons play an essential role in prenatal consultation for congenital anomalies likely to require surgery in the newborn period. The involvement of pediatric surgeons during multi-disciplinary prenatal meetings has been an important part of the evolution of comprehensive fetal care, characterized by detailed prenatal evaluation, diagnosis, prognosis, and planned perinatal and post-natal care. Advances in fetal diagnostics and treatments, as well as complex postnatal medical care and decision-making create a broad range of care options for pregnant women with fetal surgical anomalies. Ethical challenges involve the availability and risks/benefits of maternal-fetal surgery, and diagnostic and prognostic uncertainty for the newborn. Clinical scenarios illustrate cases that pediatric surgeons may encounter in practice, with discussions highlighting the ethical principles involved as well as considerations for management.
儿科外科医生在对可能需要在新生儿期进行手术的先天性畸形进行产前咨询方面发挥着重要作用。儿科外科医生参与多学科产前会议是全面胎儿护理发展的重要组成部分，其特点是详细的产前评估、诊断、预后以及计划中的围产期和产后护理。胎儿诊断和治疗的进步以及复杂的产后医疗护理和决策为胎儿外科畸形孕妇提供了广泛的护理选择。伦理挑战涉及到胎儿手术的可用性和风险/益处，以及新生儿的诊断和预后不确定性。临床情况说明了儿科外科医生在实践中可能遇到的病例，讨论强调了所涉及的伦理原则以及管理方面的考虑。
