This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in JAMA  Topic Collections  • Medical Practice  • Medical Ethics  • Anesthesia  • Pain  • Pediatrics  • Neonatology and Infant Care  • Alert me on articles by topic  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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

Myers et al are in error in their "first and foremost" concern that none of the authors routinely care for preterm infants. Another author (Dr Partridge) is a neonatal intensive care specialist who has provided care to preterm infants for more than 20 years and has lectured widely and written about neonatal ethics and . . . [Full Text of this Article]

Susan J. Lee, JD
School of Medicine

Henry J. Peter Ralston III, MD
W. M. Keck Foundation for Integrative Neuroscience

Eleanor A. Drey, MD, EdM
Department of Obstetrics, Gynecology and Reproductive Sciences

John Colin Partridge, MD, MPH
Department of Pediatrics

Mark A. Rosen, MD
rosenm@anesthesia.ucsf.edu
Department of Anesthesia and Perioperative Care
University of California, San Francisco

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

Fetal Pain
Laura B. Myers, Linda A. Bulich, Arielle Mizrahi, and Stephen Santangelo
JAMA. 2006;295(2):159.
EXTRACT | FULL TEXT  

Fetal Pain
Bobbi J. Lyman
JAMA. 2006;295(2):159.
EXTRACT | FULL TEXT  

Fetal Pain
Brian D. Sites
JAMA. 2006;295(2):160.
EXTRACT | FULL TEXT  

Fetal Pain: A Systematic Multidisciplinary Review of the Evidence
Susan J. Lee, Henry J. Peter Ralston, Eleanor A. Drey, John Colin Partridge, and Mark A. Rosen
JAMA. 2005;294(8):947-954.
ABSTRACT | FULL TEXT