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      Maternal-fetal intervention and fetal care centers.

      American College of Obstetricians and Gynecologists, Committee on Ethics, American Academy of Pediatrics, Committee on Bioethics
      Pediatrics
      American Academy of Pediatrics (AAP)

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          Abstract

          The past 2 decades have yielded profound advances in the fields of prenatal diagnosis and fetal intervention. Although fetal interventions are driven by a beneficence-based motivation to improve fetal and neonatal outcomes, advancement in fetal therapies raises ethical issues surrounding maternal autonomy and decision-making, concepts of innovation versus research, and organizational aspects within institutions in the development of fetal care centers. To safeguard the interests of both the pregnant woman and the fetus, the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics make recommendations regarding informed consent, the role of research subject advocates and other independent advocates, the availability of support services, the multidisciplinary nature of fetal intervention teams, the oversight of centers, and the need to accumulate maternal and fetal outcome data.

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          Author and article information

          Journal
          Pediatrics
          Pediatrics
          American Academy of Pediatrics (AAP)
          1098-4275
          0031-4005
          Aug 2011
          : 128
          : 2
          Article
          peds.2011-1570
          10.1542/peds.2011-1570
          21788223
          a00e3878-fc53-4ba2-8575-37e689b1b296
          History

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