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Perinatal hospice.

N J Hoeldtke1, B C Calhoun

  • 1Department of Obstetrics and Gynecology, Tripler Army Medical Center, Honolulu, HI 96859, USA.

American Journal of Obstetrics and Gynecology
|September 25, 2001
PubMed
Summary

This study proposes a perinatal hospice care model for families continuing pregnancies after diagnosing lethal fetal anomalies. It addresses management needs during pregnancy, birth, and postpartum, integrating prenatal diagnosis and grief support.

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Area of Science:

  • Perinatal Medicine
  • Palliative Care
  • Fetal Medicine

Background:

  • Families face unique challenges when continuing pregnancies after diagnosing lethal fetal anomalies.
  • Limited medical literature exists on managing these specific circumstances.
  • Existing care models do not fully address the complex needs of these families.

Purpose of the Study:

  • To propose a comprehensive perinatal hospice care model for families facing lethal fetal anomalies.
  • To outline the integration of prenatal diagnosis, grief management, and hospice care.
  • To address the antepartum, intrapartum, and postpartum needs of affected families.

Main Methods:

  • Developing a multidisciplinary team approach for care delivery.
  • Identifying suitable candidates for perinatal hospice care.
  • Detailing care aspects across antepartum, intrapartum, and postpartum periods.

Main Results:

  • The proposed model integrates key strengths from prenatal diagnosis, perinatal grief management, and hospice care.
  • It provides a framework for managing families throughout the pregnancy and postpartum journey.
  • Barriers to implementing perinatal hospice care are identified for future consideration.

Conclusions:

  • Perinatal hospice care offers a structured approach to support families with lethal fetal anomalies.
  • A multidisciplinary team is crucial for effective antepartum, intrapartum, and postpartum management.
  • Addressing implementation barriers is essential for wider adoption of this care model.

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