Mendes Joana, Wool Jesse, Wool Charlotte
J Obstet Gynecol Neonatal Nurs. 2017 May-Jun;46(3):367-377. doi: 10.1016/j.jogn.2017.01.011. Epub 2017 Apr 6.
Clinicians may face new ethical considerations when parents continue pregnancies after receiving life-limiting fetal diagnoses and desire palliative care. In this article we present four ethical considerations in perinatal palliative care: ambiguous terminology in relation to diagnosis or prognosis, differences between bereavement support and palliative care, neonatal organ donation, and postdeath cooling. In this article, we enable readers to consider current topics from different perspectives and reflect on care when confronted with sensitive clinical scenarios.
当父母在收到胎儿患有危及生命的诊断结果后仍继续妊娠并希望接受姑息治疗时,临床医生可能会面临新的伦理考量。在本文中,我们提出围产期姑息治疗中的四个伦理考量:与诊断或预后相关的术语模糊、哀伤支持与姑息治疗的差异、新生儿器官捐赠以及死后降温。在本文中,我们使读者能够从不同角度思考当前话题,并在面对敏感临床情况时反思护理工作。