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Global Policy and Practice for Intrauterine Fetal Resuscitation During Fetal Surgery for Open Spina Bifida Repair

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Key Points Question What is current global practice for fetal resuscitation, emergency delivery, and subsequent neonatal resuscitation during fetal surgery for open spina bifida repair? Findings This global survey study… Click to show full abstract

Key Points Question What is current global practice for fetal resuscitation, emergency delivery, and subsequent neonatal resuscitation during fetal surgery for open spina bifida repair? Findings This global survey study of 28 centers in 11 countries performing fetal surgery for open spina bifida repair identified variability in fetal resuscitation and subsequent neonatal resuscitation practices. The gestational age at which neonatal resuscitation would be attempted after emergency delivery varied from 22 weeks and 0 days to more than 28 weeks. Meaning This study suggests that further collaborative work between centers is required to assess how decisions are made about fetal resuscitation during fetal surgery for open spina bifida repair and the effect of those decisions on professionals and parents.

Keywords: fetal resuscitation; open spina; spina bifida; fetal surgery; surgery open; resuscitation

Journal Title: JAMA Network Open
Year Published: 2023

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