Abstract
Objective:Examine how pediatric and obstetrical subspecialists view benefits and burdens of prenatal myelomeningocele (MMC) closure.Study design:Mail survey of 1200 neonatologists, pediatric surgeons and maternal-fetal medicine specialists (MFMs).Results:Of 1176 eligible physicians, 670 (57%) responded. Most respondents disagreed (68%, 11% strongly) that open fetal surgery places an unacceptable burden on women and their families. Most agreed (65%, 10% strongly) that denying the benefits of open maternal-fetal surgery is unfair to the future child. Most (94%) would recommend prenatal fetoscopic over open or postnatal MMC closure for a hypothetical fetoscopic technique that had similar shunt rates (40%) but decreased maternal morbidity. When the hypothetical shunt rate for fetoscopy was increased to 60%, physicians were split (49% fetoscopy versus 45% open). Views about burdens and fairness correlated with the likelihood of recommending postnatal or fetoscopic over open closure.Conclusion:Individual and specialty-specific values may influence recommendations about prenatal surgery.
Original language | English (US) |
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Pages (from-to) | 994-998 |
Number of pages | 5 |
Journal | Journal of Perinatology |
Volume | 37 |
Issue number | 9 |
DOIs | |
State | Published - Sep 1 2017 |
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology