Ethical considerations of maternal-fetal intervention in a twin pregnancy discordant for anomalies.

Kirsten A RigganChristopher A ColluraSiobhan T Pittock Rodrigo Ruano Kevin J Whitford Megan A Allyse

Published in: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians (2019)

While FETO was not ethically advisable in this pregnancy, we find that in limited circumstances, certain maternal-fetal surgical interventions may be ethically permissible in a twin pregnancy discordant for a structural abnormality if the risks to the unaffected twin are minimal and the procedure would improve the likelihood of survival and postnatal outcome of a critically compromised co-twin.

Keyphrases

pregnancy outcomes
preterm birth
pregnant women
randomized controlled trial
birth weight
preterm infants
climate change
free survival
weight gain
weight loss