Garten Lars, von der Hude Kerstin
Department of Neonatology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.
Children (Basel). 2022 Dec 21;10(1):15. doi: 10.3390/children10010015.
Palliative care in the delivery room is an interprofessional and interdisciplinary challenge addressing the dying newborn and parents as well as the caregivers. It differs in some significant aspects from palliative care in the neonatal intensive care unit. Clinical experience suggests that many details regarding this unique specialized palliative care environment are not well known, which may result in some degree of insecurity and emotional distress for health care providers. This article presents basic background information regarding the provision of palliative care to newborns within the delivery room. It offers orientation along with a preliminary set of practical recommendations regarding the following central issues: (i) the basic elements of perinatal palliative care, (ii) the range of non-pharmacological and pharmacological interventions available for infant symptom control near the end of life, (iii) meeting the personal psychological, emotional, and spiritual needs of the parents, and (iv) care and self-care for medical personnel.
产房姑息治疗是一项跨专业和跨学科的挑战，涉及濒死新生儿及其父母以及护理人员。它在一些重要方面与新生儿重症监护病房的姑息治疗有所不同。临床经验表明，许多关于这种独特的专业姑息治疗环境的细节并不为人所知，这可能会给医护人员带来一定程度的不安全感和情绪困扰。本文介绍了产房内为新生儿提供姑息治疗的基本背景信息。它提供了指导，并就以下核心问题给出了一套初步的实用建议：（i）围产期姑息治疗的基本要素，（ii）生命末期用于控制婴儿症状的非药物和药物干预措施的范围，（iii）满足父母个人的心理、情感和精神需求，以及（iv）医护人员的护理和自我护理。
