This article reviews the anesthetic considerations for maternal-fetal surgery (MFS), a growing subspecialty that treats fetal anomalies in utero through minimally invasive procedures, open fetal surgeries, and EXIT (ex utero intrapartum treatment) procedures. Certified Registered Nurse Anesthetists (CRNAs) must manage both the mother and fetus, requiring knowledge of pregnancy physiology, fetal circulation, drug transfer across the placenta, and the need for uterine relaxation. The article highlights ethical challenges, preoperative planning, fetal monitoring, and the importance of tailored anesthetic approaches to optimize outcomes and ensure the safety of both patients during these complex interventions.

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The American Association of Nurse Anesthesiology is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. 

AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

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