Parent Decision-Making With Fetal Surgery for Myelomeningocele : Journal of Pediatric Surgical Nursing

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Review Article

Parent Decision-Making With Fetal Surgery for Myelomeningocele

Hansen, Kara LSCSW, LCSW, PMH-C; Trowbridge, Kelly PhD, LSCSW, LCSW; Wayne, Allie MSN, RN, RNC-NIC

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Journal of Pediatric Surgical Nursing 12(1):p 22-30, 1/3 2023. | DOI: 10.1097/JPS.0000000000000374



The objectives of this study were to understand how parents made the decision to do maternal–fetal surgery for myelomeningocele and to determine the influence of the shared decision-making model on their choice.


This is a qualitative study of parents in a fetal care center after fetal surgery. Interviews were recorded and transcribed. Analysis was completed using iterative code development, and thematic saturation was reached.


Rapid decision making, often before seeing fetal care professionals, was present, parental agency drove the decision for surgery, exposure to other parents via the Internet was key to reducing uncertainty and increasing hope for the future, positive interactions with the healthcare team played a role in parental choice for surgery, and mothers were surprised by unanticipated pain and discomfort following surgery.


Tenets of shared decision making, such as patients feeling supported by their healthcare professionals, were present. Results learned from this study could be used to tailor interactions with parents seeking fetal surgery.

Copyright © 2022 American Pediatric Surgical Nursing Association, Inc.

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