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Published on: October 31, 2025
Building a case for neonatal palliative care
1University of New Mexico Children's Hospital, Albuquerque, USA. tromesberg@salud.unm.edu
Insights
Neonatal palliative care offers comfort and support for dying infants and their families. Addressing implementation challenges through research and education is crucial for excellence in end-of-life care.
Area of Science:
- Neonatal medicine
- Palliative care
- Pediatric end-of-life care
Background:
- Palliative care is established in adults but underutilized in pediatrics.
- There is a critical need for high-quality end-of-life care for neonates and their families.
- Current neonatal end-of-life care lacks comprehensive implementation.
Purpose of the Study:
- To define the components of neonatal palliative care.
- To identify challenges in implementing neonatal palliative care programs.
- To propose strategies for overcoming these implementation barriers.
Main Methods:
- Literature review on neonatal palliative care components.
- Analysis of challenges in program implementation.
- Development of strategic recommendations.
Main Results:
- Neonatal palliative care encompasses comfort, decision-making support, and bereavement care.
- Key challenges include lack of standardized protocols and limited resources.
- Strategies involve research, education, and interdisciplinary collaboration.
Conclusions:
- Implementing comprehensive neonatal palliative care is essential for improving end-of-life experiences.
- Overcoming challenges requires dedicated research and educational initiatives.
- Effective neonatal palliative care necessitates a structured approach and support systems.
Abstract:
The concept of palliative care, well recognized in the adult population, has not been fully implemented in the pediatric population. Yet there is an urgent need to define and provide excellence in end-of-life care for infants and their families. Beneficent end-of-life care for the dying neonate includes efforts directed at comfort care, assistance with end-of-life decision making, and bereavement support. Through research and education, the challenges to implementing neonatal palliative care programs can be overcome. This article describes the components of neonatal palliative care, identifies the challenges associated wiith the implementation of such programs, and proposes strategies for addressing these challenges.
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