Letters Section Editor: Robert M. Golub, MD, Senior Editor.
In Reply: We agree with Dr Myers and colleagues that fetuses and preterm neonates undergoing surgery or other invasive procedures should receive appropriate anesthesia or analgesia. As the article stated, “Despite ongoing debate regarding fetal capacity for pain, fetal anesthesia and analgesia are still warranted for surgical procedures undertaken to promote fetal health.” Furthermore, one author (Dr Rosen) is a founding member of the Fetal Treatment Center at UCSF Children's Hospital, staffed by a multidisciplinary team that pioneered the field of fetal surgery and has advocated for, and provided, fetal anesthesia for more than 25 years.1,2
Lee SJ, Ralston HJP, Drey EA, Partridge JC, Rosen MA. Fetal Pain—Reply. JAMA. 2006;295(2):159-161. doi:10.1001/jama.295.2.160-b