Ethics and palliative care in the perinatal world

Area of Science:

• Perinatal Medicine
• Medical Ethics
• Neonatal Care

Background:

• Perinatal care uniquely involves two patients: the fetus and the pregnant woman.
• Fetal potential is linked to maternal autonomy in decision-making and clinical management.
• Outcomes range from survival with special needs to limited lifespan.

Purpose of the Study:

• To review the ethical considerations in perinatal care.
• To examine decision-making processes from prenatal diagnostics to neonatal management.
• To explore the role of palliative care in the perinatal setting.

Main Methods:

• Literature review of ethical ramifications in perinatal care.
• Analysis of decision-making complexities in fetal and maternal health.
• Examination of parental values clarification and birth planning.

Main Results:

• Ethical challenges arise in prenatal diagnostics and interventions.
• Parental values and goals significantly influence perinatal decisions.
• Decision-making is fluid and evolves throughout the perinatal period.

Conclusions:

• Ethical frameworks are crucial for navigating complex perinatal decisions.
• Integrating prenatal and postnatal palliative care can support families.
• Respecting maternal autonomy is paramount in dual-patient care.