Abstract
than 38 days were spent in the hospital, post-natal surgery became the cheaper strategy but fetal surgery remains dominant. Fetal repair of MMC in a hypothetical cohort of 1000 women would yield 526 fewer shunts and 395 fewer non-ambulatory toddlers at age 30-months, but result in 290 additional PTBs and 18 additional cases of RDS. CONCLUSION: Fetal MMC repair is cost-effective from a societal perspective, but trades improved post-natal outcomes for higher rates of preterm birth-associated and maternal morbidities. However, given the significant investment required to initiate and maintain such programs, the most cost-effective strategy from the institutional perspective deserves further analysis
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