Development of fetal surgery in Ecuador, collaboration between health care and academia, a good practice

In Ecuador, approximately 250,000 children are born every year. In 2022, there were 1,609 deaths of children under one year of age. Of these deaths, 21.5% were due to congenital anomalies, occupying second place among the ten leading causes of mortality. This reality of fetal, neonatal and infant health has been echoed by international organizations that urge countries to strengthen the timely diagnosis of congenital defects, relying on technological advancement, training of human resources and investment in areas of care of the fetus as a patient, taking into account that some of these defects can be treated in prenatal life, reducing sequelae, and improving the quality of life. In response to these needs, in Ecuador agreements were generated between the University-Academy, Ministry of Public Health-Assistance and private groups dedicated to continuing education, to jointly develop a sustainable fetal health program that benefits fetuses that are carriers of pathologies. In this paper we describe one of the arms of this project that is related to the care of fetuses that can benefit from the advancement of fetal surgery in Ecuador.