Some might say the only procedure where there is potential for 200% fatality, of both the mother and the baby, are EXIT procedures.
Wikipedia |
EXIT procedure stands for Ex Utero Intrapartum Procedure and I will tell
you-- it is amazing what they are doing to save babies lives these days.
Some
babies, if they were born with their congenital malformation, would not
survive birth. These might include conditions where the infant's
airway is obstructed, where the abdominal contents are in the chest
cavity (congenital diaphragmatic hernia), or they have a high risk tumor
like a cervical teratoma.
This is really not a
C-section as the surgeon does not want the uterus contracting. In
fact, the mother is placed under a very deep level of anesthesia so her
uterus does not contract (which is risky for the mother) until they are
ready to deliver the baby after the surgery on the baby is complete.
Once
the baby is partially delivered, it's desired for them to still have
placental support for oxygen and nutrients. But in case this doesn't
happen the baby is always intubated prior to the procedure. Also, the
infant is given an IV and pain medication and is monitored via echo and sonogram because it's hard to monitor them with conventional technology
like ECG pads.
Once the procedure is complete,
the baby is then delivered. These procedures generally take place
between 28 and 34 weeks. EXIT procedures shouldn't be confused with
fetal surgery which could take place at 24 weeks but then the child is
placed back into the womb to continue to grow. Fetal surgery might be
done for something like spina bifida.
An
interesting question becomes-- can the mother consent to a procedure
when she has so much invested in emotionally saving her child?
What do you think? Worthy of a fiction novel?
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