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Related Experiment Video

Updated: Jul 13, 2025

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
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Perinatal palliative care: focus on comfort.

F T McCarthy1, A Kenis1, E Parravicini1

  • 1Department of Pediatrics, Division of Neonatology, Columbia University Irving Medical Center, New York, NY, United States.

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|October 12, 2023
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Summary

This study outlines guidelines for perinatal palliative care, focusing on comfort for infants with life-limiting conditions. It details strategies for assessing and providing care to these vulnerable newborns and their families.

Keywords:
comfort careend-of-lifelife-limiting conditionneonatal palliative careperinatal palliative care

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Area of Science:

  • Perinatal Medicine
  • Palliative Care
  • Neonatal Medicine

Background:

  • Palliative care provides comfort to patients with life-limiting conditions.
  • Perinatal palliative care addresses the unique needs of infants unable to communicate.
  • Existing guidelines are needed for this specialized field.

Purpose of the Study:

  • To present guidelines for perinatal palliative care based on 15 years of experience.
  • To describe essential tools and strategies for comfort-focused infant care.
  • To support families throughout the perinatal journey with life-limiting diagnoses.

Main Methods:

  • Review of a 15-year experience from a Neonatal Comfort Care Program.
  • Development of guidelines for assessing and providing comfort.
  • Focus on infants diagnosed in utero, at the cusp of viability, or critically ill.

Main Results:

  • Established a framework for perinatal comfort care.
  • Identified key strategies for infant comfort assessment.
  • Provided a model for family-centered perinatal care.

Conclusions:

  • Perinatal palliative care is crucial for infants with life-limiting conditions.
  • Guidelines derived from extensive experience can enhance infant comfort.
  • A structured approach supports families facing difficult perinatal journeys.