The Louis Dundas Centre for Children's Palliative Care, Great Ormond Street Children's Hospital NHS Foundation Trust, Great Ormond Street, London WC1N 3JH, UK.
Semin Fetal Neonatal Med. 2013 Apr;18(2):93-8. doi: 10.1016/j.siny.2012.10.008. Epub 2012 Dec 4.
In the developed world, more than 90% of neonatal deaths occur in hospital and most deaths on the neonatal unit follow the planned withdrawal of ventilation. In this paper we look at what choices of place of death can be considered, the support that is available outside the hospital environment and the practicalities of achieving parental choice. We conclude that choices of place of death are usually possible, although there may be practical or resource restraints that affect which choices are available or can be achieved. Where choice is currently offered, the proportion of hospital deaths is much lower than national statistics suggest. Sadly, it is likely that the high proportion of hospital deaths currently reported reflects not that choice is unavailable, but that choice is not offered.
在发达国家，超过 90%的新生儿死亡发生在医院，新生儿病房的大多数死亡病例都遵循有计划地停止使用呼吸机。在本文中，我们探讨了可以考虑哪些死亡地点的选择，医院环境外的支持服务，以及实现父母选择的实际情况。我们的结论是，通常可以选择死亡地点，尽管可能存在实际或资源限制，影响可用或可实现的选择。目前提供选择的地方，医院死亡的比例远低于全国统计数据所显示的比例。可悲的是，目前报告的医院死亡比例很高，可能不是因为选择不可用，而是因为没有提供选择。
