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An ethical rationale for perinatal palliative care
1Chairman and Sirridge Endowed Professor of Medical Humanities & Bioethics, University of Missouri-Kansas City School of Medicine and Children's Mercy Bioethics Center, Kansas City, MO.
Insights
Perinatal palliative care supports infants facing survival challenges and those needing technology-dependent care. This review examines the history and ethics of providing these services prenatally and postnatally for life-limiting conditions.
Area of Science:
- Medical Ethics
- Neonatalogy
- Pediatrics
Background:
- The rise of advanced medical technology has created new possibilities and ethical considerations for neonatal intensive care.
- Increased capabilities in fetal diagnostics and treatment have led to a greater need for specialized perinatal care.
- Historical necessity has driven the development of palliative care for infants with poor prognoses.
Purpose of the Study:
- To review the historical development of perinatal palliative care.
- To explore the ethical rationale for offering pediatric and perinatal palliative care services.
- To examine the provision of these services during prenatal and postnatal periods for infants with life-limiting conditions.
Main Methods:
- Literature review of historical medical texts.
- Analysis of ethical frameworks in palliative care.
- Examination of case studies in perinatal medicine.
Main Results:
- Perinatal palliative care evolved from historical needs and technological advancements.
- Ethical considerations support the integration of palliative care early in life.
- Services are increasingly available for prenatal and postnatal support.
Conclusions:
- Perinatal palliative care is essential for infants with life-limiting conditions.
- Ethical principles underscore the importance of early palliative care integration.
- Comprehensive support should extend through prenatal and postnatal periods.
Abstract:
Perinatal palliative care has grown out of both an historical necessity in attending to babies in the NICU that face difficult odds of survival, the increasing technology that may avail life-extending, yet technology-dependent, care, and the growth of fetal diagnostic and treatment centers. This review looks ta the history and ethical rationale for making available services from Pediatric and Perinatal Palliative Care to families in the prenatal and postnatal periods caring for a loved one with life-limiting circumstances.
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