When one knows a fetus is expected to die: palliative care in the context of prenatal diagnosis of fetal malformations
| Autor: | Rossana Pulcineli Vieira Francisco, Tercilia Virginia Aparecida Barbosa, Nathalia Bertolassi Oliveira do Nascimento, Gláucia Rosana Guerra Benute, Maria Augusta Bento Cicaroni Gibeli, Taisa Rocha Catania, Lisandra Stein Bernardes, Vera Lúcia Jornada Krebs |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Palliative care DIAGNÓSTICO PRÉ-NATAL Prenatal diagnosis Context (language use) Cochrane Library 03 medical and health sciences 0302 clinical medicine Fetus 030225 pediatrics Intensive care Prenatal Diagnosis Medicine Humans 030212 general & internal medicine Intensive care medicine General Nursing Qualitative Research Pregnancy Terminal Care business.industry Palliative Care General Medicine medicine.disease Anesthesiology and Pain Medicine Gestation Female business |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| Popis: | Fetal malformations occur in 2% of gestations and are the fifth most common cause of neonatal death in the world. In many cases, fetal malformations result in neonatal death or long stay in intensive care facilities. Families that continue the pregnancy in such a situation need to make choices and cope with an overwhelming number of potential issues. Palliative care starting at the prenatal period is a growing field that allows the entire family to prepare for this difficult situation.To perform a systematic review of published data on palliative care in the prenatal period.PubMed and the Cochrane Library were searched using the keywords ("perinatal" OR "prenatal" OR "fetal") AND "palliative care" and also ("perinatal" OR "prenatal" OR "fetal") AND "hospice."Studies focusing on the long-term impact of prenatal palliative care published up to December 2015 were used.Quantitative and qualitative studies.In total, 541 studies were retrieved; 29 articles met the inclusion criteria. Studies were organized into different categories according to the design or main focus. The majority of studies retrieved were reflexives or presented a narrative proposal on palliative care started in the prenatal period (45%). Clinical studies comprised 17% of all articles found. No studies were found on the long-term impact of prenatal palliative care.Prenatal palliative care is a growing field and an important supportive care measure that can help grieving parents and families who do not want to or cannot interrupt their pregnancy. More studies should be carried out, specifically concerning long-term impact of prenatal palliative care. Guidelines and training of health professionals must be developed so that more families can benefit from this type of care. |
| Databáze: | OpenAIRE |
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