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Review
. 2024 Jun 1;11(6):172.
doi: 10.3390/jcdd11060172.

Ethical Considerations in Fetal Cardiology

Stefani Samples  1 , Rupali Gandhi  2   3 , Joyce Woo  1 , Angira Patel  1
Affiliations
Review

Ethical Considerations in Fetal Cardiology

Stefani Samples et al. J Cardiovasc Dev Dis. .

Abstract

Fetal cardiology has evolved over the last 40 years and changed the timing of diagnosis and counseling of congenital heart disease, decision-making, planning for treatment at birth, and predicting future surgery from the postnatal to the prenatal period. Ethical issues in fetal cardiology transect multiple aspects of biomedical ethics including improvement in prenatal detection and diagnostic capabilities, access to equitable comprehensive care that preserves a pregnant person's right to make decisions, access to all reproductive options, informed consent, complexity in shared decision-making, and appropriate use of fetal cardiac interventions. This paper first reviews the literature and then provides an ethical analysis of accurate and timely diagnosis, equitable delivery of care, prenatal counseling and shared decision-making, and innovation through in utero intervention.

Keywords: ethics; fetal cardiology; fetal echocardiogram; innovation; shared decision-making.

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Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Maulik D., Nanda N.C., Maulik D., Vilchez G. A brief history of fetal echocardiography and its impact on the management of congenital heart disease. Echocardiography. 2017;34:1760–1767. doi: 10.1111/echo.13713. - DOI - PubMed
    1. Moon-Grady A.J., Donofrio M.T., Gelehrter S., Hornberger L., Kreeger J., Lee W., Michelfelder E., Morris S.A., Peyvandi S., Pinto N.M., et al. Guidelines and Recommendations for Performance of the Fetal Echocardiogram: An Update from the American Society of Echocardiography. J. Am. Soc. Echocardiogr. 2023;36:679–723. doi: 10.1016/j.echo.2023.04.014. - DOI - PubMed
    1. Donofrio M.T. Predicting the Future: Delivery Room Planning of Congenital Heart Disease Diagnosed by Fetal Echocardiography. Am. J. Perinatol. 2018;35:549–552. doi: 10.1055/s-0038-1637764. - DOI - PubMed
    1. Wong J., Kohari K., Bahtiyar M.O., Copel J. Impact of prenatally diagnosed congenital heart defects on outcomes and management. J. Clin. Ultrasound. 2022;50:646–654. doi: 10.1002/jcu.23219. - DOI - PubMed
    1. Beauchamp T. The ‘Four Principle’ Approach to Health Care Ethics. In: Ashcroft R.E., Draper A., Draper H., McMillan J.R., editors. Principles of Health Care Ethics. John Wiley & Sons, Ltd.; Hoboken, NJ, USA: 2007. Chapter 1.

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