Barriers to Perinatal Palliative Care Consultation

Frontiers in Pediatrics

article

Franca Benini¹  Sabrina Congedi¹  Francesca Rusalen¹  Maria Elena Cavicchiolo²  Paola Lago³ 

[1] Department of Women's and Children's Health, University Hospital Padua;Woman's and Child's Department, Neonatal Intensive Care Unit, University of Padua;Neonatal Intensive Care Unit, Treviso's Hospital

关键词: perinatal palliative care;    barriers;    newborn;    need;    neonatal intensive care;   

DOI  :  10.3389/fped.2020.590616

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Despite that infant mortality rates in western countries have improved over the past decade, 5.8 infant deaths per 1,000 live births are still reported, mainly due to prematurity and congenital anomalies (1, 2). According to recent data collected in the UK, the survival rate of pre-term infants born at 23+0 to 23+6 weeks of gestation and who receive active treatment is 38% (3). According to a registry study of the National Institute of Child Health and Human Development Neonatal Research Network, 20% of infants born at 22–24 weeks of gestation survives without neurodevelopmental impairment (4). Therefore, unfortunately, still a relevant number of newborns admitted to the neonatal intensive care unit (NICU) could have an unfavorable diagnosis and a poor prognosis. This leads to the notion of perinatal palliative care (PnPC) as an emerging field of palliative care. It involves different healthcare providers, including neonatologists, gynecologists, midwives, and nurses, and in a broader view all professionals who provide support strategies to the mother or the family and the fetus/newborn.

【 授权许可】

CC BY