{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T14:57:48Z","timestamp":1758812268574},"reference-count":46,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T00:00:00Z","timestamp":1591056000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Camb Q Healthc Ethics"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>Open-uterine surgery to repair spina bifida, or \u2018fetal surgery of open neural tube defects,\u2019 has generated questions throughout its history\u2014and continues to do so in a variety of contexts. As clinical ethics consultants who worked (Mark J. Bliton) and trained (Virginia L. Bartlett) at Vanderbilt University\u2014where the first successful cases of open-uterine repair of spina bifida were carried out\u2014we lived with these questions for nearly two decades. We worked with clinicians as they were developing and offering the procedure, with researchers in refining and studying the procedure, and with pregnant women and their partners as they considered whether to undergo the procedure. From this experience in the early studies at Vanderbilt, we learned that pregnant women and their partners approach the clinical uncertainty of such a risky procedure with a curious and unique combination of practicality, self-reflection, fear, and overwhelming hope. These early experiences were a major contributing factor to the inclusion of an ethics-focused interview in the informed consent process for the Management of Myelomeningocele Study (MOMS) trial study design.<\/jats:p>","DOI":"10.1017\/s0963180120000225","type":"journal-article","created":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T10:08:31Z","timestamp":1591092511000},"page":"480-493","source":"Crossref","is-referenced-by-count":5,"title":["Retrieving the Moral in the Ethics of Maternal-Fetal Surgery"],"prefix":"10.1017","volume":"29","author":[{"given":"VIRGINIA L.","family":"BARTLETT","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARK J.","family":"BLITON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,6,2]]},"reference":[{"key":"S0963180120000225_ref45","first-page":"19","volume-title":"Time Enough for Love, the Lives of 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