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Heart for bonding: a new protocol of care for hypoplastic left heart syndrome
Mary E Parker1, Wanda T Bradshaw, Hope R Smith
1Neonatal Intensive Care Nursery, Duke University Medical Center, Durham, NC 27710, USA. mep71964@mindspring.com
Insights
Caring for infants with hypoplastic left heart syndrome (HLHS) presents unique challenges for families. This case study explores how one family
Area of Science:
- Neonatal Intensive Care
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Hypoplastic left heart syndrome (HLHS) is a severe congenital heart defect requiring complex perinatal and postnatal care.
- Families face significant emotional and practical challenges when an infant is diagnosed with HLHS.
- The desire for a 'normal' birth experience can conflict with the realities of caring for an infant with HLHS.
Observation:
- A case study details the experience of a family with an infant diagnosed with HLHS.
- The family's proactive desire to normalize the birth experience was a key factor.
- This desire prompted a re-evaluation of care philosophies within the neonatal intensive care unit.
Findings:
- The family's perspective challenged existing practices in HLHS care.
- A shift in philosophy was initiated, focusing on family-centered care.
- Adaptations in neonatal intensive care unit (NICU) practices were implemented.
Implications:
- This case highlights the importance of family-centered approaches in managing HLHS.
- It suggests that family desires can drive positive changes in clinical practice.
- Improved integration of family needs into NICU protocols for congenital heart defects is recommended.
Abstract:
There are significant challenges involved in the perinatal and postnatal care of an infant with hypoplastic left heart syndrome (HLHS) and the infant's family. In the blink of an eye, the perfect child is lost, and a fragile infant is about to join the family. This case study and discussion is an overview of HLHS , a family's desire to make the birth of their infant normal, and how that desire initiated a change in philosophy and practice in our neonatal intensive care unit.
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