The Ex Utero Intrapartum Therapy (EXIT) Procedure: Experience and Outcomes

This enduring material continuing education activity is intended to meet the educational needs and practice skills of physicians, advanced practice nurses, nurses, and other healthcare professionals in the fields of maternal fetal medicine, obstetrics, radiology, genetics, neonatology, pediatric surgery, pediatric cardiology, anesthesiology, pediatrics and family practice.

Among the many issues clinicians face today, staying current with advances in prenatal diagnosis, perinatal management, surgical repair and postnatal care of congenital anomalies is becoming a major challenge. This enduring material activity will provide participants a foundation and framework to confidently identify appropriate perinatal management options for select structural anomalies, with a focus on fetal intervention and immediate neonatal surgical management strategies.

This lecture incorporates current, evidence-based diagnostic techniques, defect-specific protocols for fetal intervention and surgical management of the high risk neonate, with a focus on the ex utero intrapartum therapy (EXIT) procedure. Pertinent case examples are reviewed in conjunction with a discussion of current outcomes from a single center’s long-term experience with the EXIT procedure. The intent is to enhance clinicians’ skill in diagnosing, counseling and managing pregnancies complicated by these rare anomalies thereby improving their patients’ access to appropriate levels of care thereby improving outcomes.

Upon completion of this enduring material, participants will be able to:

  1. Identify key differences between the EXIT procedure and a caesarean section
  2. Cite key indications for the EXIT procedure
  3. List the essential components for a successful EXIT procedure, including team members
  4. Discuss risks, benefits and outcomes of the EXIT procedure
  5. Incorporate enhanced knowledge into prenatal counseling

AMA Credit Designation Statement

The Children’s Hospital of Philadelphia designates this enduring material for a maximum 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Advanced Practice Nurse and Registered Nurse Participation

Advanced practice providers (APP), nurses and respiratory therapists who complete this enduring material educational activity will need to follow the instructions in the “Method of Participation” section and will be eligible to receive a certificate of completion, which may be used for re-licensure and re-certification. For further information, please contact Kathleen Monforto, PhD, MSN, RN, CPN, Education Nurse Specialist, at