Get access

Maternal, Fetal, and Neonatal Care in Open Fetal Surgery for Myelomeningocele


  • Susan S. Spinner,

    Corresponding author
    • Correspondence

      Susan S. Spinner, RN, MSN, The Center for Fetal Diagnosis and Treatment, The Children's Hospital of Philadelphia, 34th Street & Civic Center Boulevard, Philadelphia, PA 19104.

    Search for more papers by this author
  • Susan R. Miesnik,

  • Jamie G. Koh,

  • Lori J. Howell

  • The authors report no conflict of interest or relevant financial relationships.


Fetal myelomeningocele closure (fMMC) was demonstrated in a randomized, prospective clinical trial to improve outcomes for children diagnosed prenatally. Complex care of the maternal/fetal dyad undergoing fetal surgery requires a well-coordinated multidisciplinary team. Nurses in many roles are essential members of the team that cares for these women across the continuum. In this article we discuss the care of the woman, fetus, and family from initial contact through the discharge of the neonate.