Evidence map›Paper›PMID 42448919›Full record

ReviewJournal of perinatology : official journal of the California Perinatal Association2026

A proposed ethics framework for conceptualization of the perioperative-neonatal window in open fetal surgery.

Ian D Wolfe, Heidi Kamrath, Stephanie Eyerly-Webb, Clifton Brock, Lisa Howley, Saul Snowise

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ian D WolfeMidwest Fetal Care Center, Children's Minnesota, Minneapolis, MN, USA. ian.wolfe@childrensmn.org.ORCID http://orcid.org/0000-0003-3308-3749
Heidi KamrathMidwest Fetal Care Center, Children's Minnesota, Minneapolis, MN, USA.
Stephanie Eyerly-WebbMidwest Fetal Care Center, Children's Minnesota, Minneapolis, MN, USA.
Clifton BrockMidwest Fetal Care Center, Children's Minnesota, Minneapolis, MN, USA.
Lisa HowleyMidwest Fetal Care Center, Children's Minnesota, Minneapolis, MN, USA.
Saul SnowiseMidwest Fetal Care Center, Children's Minnesota, Minneapolis, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antenatal maternal-fetal surgery and intervention (MFSI) endeavors to reduce the morbidity and mortality of the unborn child but raises unique and challenging issues around fetal patienthood and medical risk to the pregnant person without direct physiological benefit. An aspect of open MFSI that has not been adequately discussed is the emergent delivery of a viable fetus. While rare, this potential occurrence provides an important starting point to analyze novel ethical issues that do not exist in other spaces. Specifically, there are unanswered ethical questions regarding where the perioperative window ends and neonatal resuscitation begins, and how this affects the zone of parental discretion and what obligations clinicians have in these instances. This paper will provide an ethical analysis centered on emergent delivery of a viable fetus during mid-trimester open MFSI, including a practical framework for clinicians to guide their practice and assist in pre-procedural counseling.

Identifiers

PMID42448919

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.