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June 4, 1982

CONTEMPO 1982: Issues, Frontiers

JAMA. 1982;247(21):2939-2940. doi:10.1001/jama.1982.03320460039012

Human reproduction is the leitmotiv of CONTEMPO 1982, our fifth annual review issue of The Journal. Details of in vitro fertilization from the Jones' laboratory in Norfolk, Va, site of the first in vitro conception resulting in a birth in the United States, are described in our article on "Obstetrics and Gynecology." As work proceeds at the frontier of in utero surgery,1 physicians have already placed catheters and performed ureterostomies for decompression in serious fetal abnormalities,2-5 and the authors of our articles in "Urology" and "Obstetrics and Gynecology" highlight these events. Any assessment of the long-term value of in utero surgical procedures remains preliminary. Such developments also raise ethical questions, which The Journal has tried to address alongside scientific articles.6,7 The myriad of ethical concerns with the fetus, in special relief this past year, are the subject of the CONTEMPO article on "Biomedical Ethics."

To preserve fertility