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Published on: January 7, 2020
[Implementing palliative care for newborns in various care settings. Part 3 of "Palliative care in the neonatal
P Bétrémieux1, F Gold, S Parat
1Unité de réanimation pédiatrique, hôpital Sud, CHU, 16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2, France. pierre.betremieux@chu-rennes.fr
Insights
Palliative care for newborns, including those with severe congenital conditions or extreme prematurity, can occur in various settings. Transitioning home may offer benefits for infants with chronic conditions.
Area of Science:
- Neonatal medicine
- Pediatric palliative care
- Bioethics
Context:
- Palliative care for newborns is essential, often beginning in the delivery room.
- Care settings include maternity wards, neonatal units, and home environments.
- Focuses on infants with severe congenital malformations and extremely preterm infants near viability.
Purpose:
- To review palliative care procedures for newborns.
- To discuss the complexities of withholding and withdrawing treatment in neonatal palliative care.
- To explore the benefits of home-based palliative care for infants with chronic conditions.
Summary:
- Palliative care for newborns can be provided in delivery rooms, hospital wards, or neonatal units.
- Home care is a beneficial option for infants with chronic conditions.
- The review covers care procedures and ethical considerations for treatment withdrawal in neonatal palliative care.
Impact:
- Provides a framework for decision-making in neonatal palliative care.
- Highlights the importance of individualized care plans for vulnerable newborns.
- Informs healthcare providers and families about care options and ethical considerations.
Abstract:
Palliative care in newborns may take place in the delivery room and then continued either in maternity wards or in the neonatal unit. For babies developing a chronic condition, going home may be advantageous. The population concerned includes babies born with a severe intractable congenital malformation and certain extremely preterm newborn babies at the limits of viability. Care procedures as well as withholding and withdrawing treatments are reviewed.
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