Ethical Considerations in Fetal Cardiology

Stefani Samples, Rupali Gandhi, Joyce Woo, Angira Patel*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

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.

Original languageEnglish (US)
Article number172
JournalJournal of Cardiovascular Development and Disease
Volume11
Issue number6
DOIs
StatePublished - Jun 2024

Keywords

  • ethics
  • fetal cardiology
  • fetal echocardiogram
  • innovation
  • shared decision-making

ASJC Scopus subject areas

  • General Pharmacology, Toxicology and Pharmaceutics
  • Pharmacology (medical)

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