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Committee Opinion No. 720 Summary: Maternal-Fetal Surgery for Myelomeningocele.

Abstract Myelomeningocele, a severe form of spina bifida, occurs in approximately 1 in 3,000 live births in the United States. The extent of disability is generally related to the level of the myelomeningocele defect, with a higher upper level of lesion generally corresponding to greater deficits. Open maternal-fetal surgery for myelomeningocele repair is a major procedure for the woman and her affected fetus. Although there is demonstrated potential for fetal and pediatric benefit, there are significant maternal implications and complications that may occur acutely, postoperatively, for the duration of the pregnancy, and in subsequent pregnancies. Women with pregnancies complicated by fetal myelomeningocele who meet established criteria for in utero repair should be counseled in a nondirective fashion regarding all management options, including the possibility of open maternal-fetal surgery. Maternal-fetal surgery for myelomeningocele repair should be offered only to carefully selected patients at facilities with an appropriate level of personnel and resources.
PMID
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Committee Opinion No. 720: Maternal-Fetal Surgery for Myelomeningocele.

Authors
Mayor MeshTerms
Keywords
Journal Title obstetrics and gynecology
Publication Year Start




PMID- 28832482
OWN - NLM
STAT- MEDLINE
DA  - 20170823
DCOM- 20170908
LR  - 20170908
IS  - 1873-233X (Electronic)
IS  - 0029-7844 (Linking)
VI  - 130
IP  - 3
DP  - 2017 Sep
TI  - Committee Opinion No. 720 Summary: Maternal-Fetal Surgery for Myelomeningocele.
PG  - 672-673
LID - 10.1097/AOG.0000000000002294 [doi]
AB  - Myelomeningocele, a severe form of spina bifida, occurs in approximately 1 in
      3,000 live births in the United States. The extent of disability is generally
      related to the level of the myelomeningocele defect, with a higher upper level of
      lesion generally corresponding to greater deficits. Open maternal-fetal surgery
      for myelomeningocele repair is a major procedure for the woman and her affected
      fetus. Although there is demonstrated potential for fetal and pediatric benefit, 
      there are significant maternal implications and complications that may occur
      acutely, postoperatively, for the duration of the pregnancy, and in subsequent
      pregnancies. Women with pregnancies complicated by fetal myelomeningocele who
      meet established criteria for in utero repair should be counseled in a
      nondirective fashion regarding all management options, including the possibility 
      of open maternal-fetal surgery. Maternal-fetal surgery for myelomeningocele
      repair should be offered only to carefully selected patients at facilities with
      an appropriate level of personnel and resources.
LA  - eng
PT  - Journal Article
PT  - Practice Guideline
PL  - United States
TA  - Obstet Gynecol
JT  - Obstetrics and gynecology
JID - 0401101
SB  - AIM
SB  - IM
MH  - Female
MH  - Humans
MH  - Meningomyelocele/*surgery
MH  - Obstetric Surgical Procedures/*standards
MH  - Obstetrics
MH  - Pregnancy
MH  - Pregnancy Outcome
MH  - Societies, Medical
MH  - United States
EDAT- 2017/08/24 06:00
MHDA- 2017/09/09 06:00
CRDT- 2017/08/24 06:00
AID - 10.1097/AOG.0000000000002294 [doi]
AID - 00006250-201709000-00042 [pii]
PST - ppublish
SO  - Obstet Gynecol. 2017 Sep;130(3):672-673. doi: 10.1097/AOG.0000000000002294.