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[姑息治疗分娩计划:有待建立的围产期医学领域]

[Palliative care birth plan: a field of perinatal medicine to build].

作者信息

Tosello B, Le Coz P, Payot A, Gire C, Einaudi M-A

机构信息

Espace éthique Méditerranéen, UMR7268 (anthropologie bio-culturelle, droit, éthique et santé), université Aix-Marseille, hôpital de La Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.

出版信息

Gynecol Obstet Fertil. 2013 Apr;41(4):251-4. doi: 10.1016/j.gyobfe.2013.02.013. Epub 2013 Apr 8.

DOI:10.1016/j.gyobfe.2013.02.013
PMID:23578964
Abstract

Some couples may choose to continue the pregnancy unable to decide for termination of pregnancy. Such situations recently occurred in neonatology units and may lead to neonatal palliative care. Faced with all uncertainties inherent to medicine and the future of the baby, medical teams must inform parents of different possible outcome step by step. Consistency in the reflection and intentionality of the care is essential among all different stakeholders within the same health team to facilitate support of parents up to a possible fatal outcome. This issue in perinatal medicine seems to be to explore how caregivers can contribute in the construction of parenthood in a context of a palliative care birth plan.

摘要

一些夫妇可能无法决定终止妊娠而选择继续怀孕。这种情况最近在新生儿科出现,可能会导致新生儿姑息治疗。面对医学固有的所有不确定性以及婴儿的未来,医疗团队必须逐步告知父母不同的可能结果。在同一医疗团队的所有不同利益相关者之间,护理的思考和意图保持一致对于在可能出现致命结果的情况下为父母提供支持至关重要。围产期医学中的这个问题似乎是探索在姑息治疗分娩计划的背景下,护理人员如何能够促进父母角色的构建。

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引用本文的文献

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Severe Fetal Abnormality and Outcomes of Continued Pregnancies: A French Multicenter Retrospective Study.严重胎儿异常与继续妊娠的结局:一项法国多中心回顾性研究
Matern Child Health J. 2017 Oct;21(10):1901-1910. doi: 10.1007/s10995-017-2305-0.
2
Barriers in referring neonatal patients to perinatal palliative care: a French multicenter survey.将新生儿患者转诊至围产期姑息治疗的障碍:一项法国多中心调查。
PLoS One. 2015 May 15;10(5):e0126861. doi: 10.1371/journal.pone.0126861. eCollection 2015.