Look at Us Now

A remarkable program — and its first
patient — turn 15

In 1995, during a routine prenatal ultrasound, Felicia and Roberto Rodriguez received terrible news. The child Felicia was carrying had a huge growth in one lung — a rare, life-threatening condition. Their physician told them they had three options: Abort the pregnancy. Let the fetus die on its own. Or try to save the baby through fetal surgery, an innovative form of therapy available at The Children's Hospital of Philadelphia.

Determined to do everything possible to save their unborn child, the Rodriguezes traveled from their West Palm Beach, Fla., home to CHOP's newly opened Center for Fetal Diagnosis and Treatment, one of the few programs worldwide capable of treating birth defects in utero. After an extensive evaluation and counseling about the risks of fetal surgery, N. Scott Adzick, M.D., M.M.M., the Center's director and a pioneer in the field of fetal surgery, opened Felicia's uterus, removed the lesion that occupied a large portion of the fetus' left lung, then closed the womb to allow the pregnancy to continue to near-term gestation.

It was the first-ever fetal surgery at CHOP — and a resounding success. Thirteen weeks later, Roberto Rodriguez Jr. was born with a healthy set of lungs and nothing more than a scar to show for his revolutionary surgery.

"I see that scar every day when I wake up, and I'm grateful," says Roberto Jr., now a freshman in high school with dreams of becoming a professional baseball player.

More about The Center for Fetal
Diagnosis and Treatment

Lifesaving intervention  Roberto Rodriguez Jr.'s lung lesion surgery in 1995 was the first-ever fetal surgery at CHOP. Proud parents Felicia and Roberto Rodriguez, pictured shortly after delivery with Roberto Jr., born 13 weeks after fetal surgery with nothing more than a scar. Roberto Jr., age 4, played T-ball. Roberto Jr., age 12, suiting up for a baseball game. Thanks to fetal surgery, he has no lasting effects from his birth defect.
Lifesaving intervention — Roberto Rodriguez Jr.'s lung lesion surgery in 1995 was the first-ever fetal surgery at CHOP. Proud parents Felicia and Roberto Rodriguez, pictured shortly after delivery with Roberto Jr., born 13 weeks after fetal surgery with nothing more than a scar. Roberto Jr., age 4, played T-ball. Roberto Jr., age 12, suiting up for a baseball game. Thanks to fetal surgery, he has no lasting effects from his birth defect.
Growing Together

"Only 25 years ago, the concept of treating the fetus as a patient in its own right was considered a radical, futuristic idea — even in some very sophisticated scientific circles," Adzick says. "Today, the landscape is dramatically different."

2010 marked the Center's 15th anniversary. Like Roberto, it has grown in incredible ways, helping to establish fetal therapy as one of the most promising fields in medicine today, advancing groundbreaking treatments and offering a level of comprehensive care that simply doesn't exist elsewhere for the full spectrum of birth defects.

The Rodriguezes were among the first of more than 11,000 families from all 50 states and more than 50 countries, facing the impact of a prenatally diagnosed birth defect, to look to the Center as a beacon of hope and help. They have seen the program's growth firsthand at the annual Fetal Family Reunion, where attendance has swelled from fewer than 10 families in 1997 to more than 700 people this past year.

"It's phenomenal to see," Felicia says. "Now you can barely fit everybody in one photo frame."

Roberto Jr., age 14, showing off his baseball trophies. He hopes to take his love of baseball to the big leagues. Felicia and Roberto Jr., seated far right, were in the Center for Fetal Diagnosis and Treatment's first family reunion group photo in 1997. The Fetal Family Reunion in 2010 brought more than 700 people together for a fun, inspiring day. The Fetal Family Reunion is an extra touch offered by the Center for Fetal Diagnosis and Treatment, made possible by the generosity of donors.
Roberto Jr., age 14, showing off his baseball trophies. He hopes to take his love of baseball to the big leagues. Felicia and Roberto Jr., seated far right, were in the Center for Fetal Diagnosis and Treatment's first family reunion group photo in 1997. The Fetal Family Reunion in 2010 brought more than 700 people together for a fun, inspiring day. The Fetal Family Reunion is an extra touch offered by the Center for Fetal Diagnosis and Treatment, made possible by the generosity of donors.
A Special Place

In 2008, Roberto Jr. and his family participated in another major milestone at the Center, cutting the "umbilical cord" ribbon at the grand opening of the Lynne and William Garbose Family Special Delivery Unit, the world's first comprehensive birth facility for mothers carrying fetuses with known birth defects. Since then, more than 600 mothers have delivered in the unit.

"It's an exhilarating feeling to know that you've been a part of something so great," Felicia says. "Every day we're reminded of the miracle we were given."

Ever at the forefront of innovation, the Center team continues to improve prenatal surgical procedures, and to research new therapies that will potentially allow fetuses with life-limiting disorders such as sickle cell disease, hemophilia and spina bifida to come into the world healthy.

All this in just 15 years.

Adzick reflects: "Our 'birthday' is made special by all the birthdays we've been able to help families experience. Every day in our program, there is a sense of discovery and progress. I can hardly wait to see what we're doing at 21!"

To Believe is the inspiring story of fetal therapy, told by the CHOP clinicians and families who braved the unknown to help the unborn.

View To Believe now: fetalsurgery.chop.edu

Learn about the Center for Fetal Diagnosis
and Treatment at:
fetalsurgery.chop.edu

Roberto Jr., with parents Roberto Sr., and Felicia Rodriguez, at the opening of the Lynne L. and William M. Garbose Family Special Delivery Unit. Felicia and Roberto Rodriguez Jr., center, helping to cut the umbilical cord ribbon at the opening of the Special Delivery Unit. At the Garbose Family Special Delivery Unit, mother, baby and family are in one space for labor, birth and the postpartum experience. Families receiving care in the SDU take comfort knowing the most advanced intensive care units and operative facilities are within steps of their delivery rooms.
Felicia and Roberto Rodriguez Jr., center, helping to cut the "umbilical cord" ribbon, along with Lynne and Bill Garbose, far left, at the opening of the Garbose Family Special Delivery Unit. Roberto Jr., with parents Roberto Sr. and Felicia, at the opening of the SDU. Families receiving care in the SDU take comfort knowing the most advanced intensive care units and operative facilities are within steps of their delivery rooms. At the SDU, mother, baby and family are in one space for labor, birth and the postpartum experience.

Birth of a

Breakthrough

       The Center for Fetal Diagnosis and Treatment was recently at the forefront of one of the most exciting developments in the history of treatment for birth defects. In 2010, a groundbreaking national study, published in the New England Journal of Medicine, proved that surgical repair before birth could prevent or lessen some of the most devastating effects of spina bifida, the most common central nervous system birth defect.

Fetal surgeons at the center developed the prenatal repair procedure for spina bifida and the center team has the greatest collective experience in the world in applying this complex and immensely promising therapy.

"For years, spina bifida has been a problem you deal with after birth. You get what you get, and you make the best of it," says Lori J. Howell, R.N., M.S., the center's executive director. "Now with fetal surgery, you're able to look at it in a positive light. That is amazing, and it's really due to our clinical team's efforts."

Learn about fetal surgery for spina bifida:
fetalsurgery.chop.edu/spinabifida

In 2000, Sean Mulligan was diagnosed with spina bifida in utero, and became one of the first CHOP patients to undergo prenatal repair of the birth defect. Today, Sean is 10 — and look at him now!