Kukora S K, Branche T, Miller E R, Henner N, Kapadia V, Haward M F
Bioethics Center and Division of Neonatology, Children's Mercy Hospital, Kansas City, MO, USA.
Division of Neonatology, Ann and Robert H. Lurie Children's Hospital, Chicago, IL, USA.
J Perinatol. 2024 Oct 26. doi: 10.1038/s41372-024-02156-2.
Supporting parents' emotional and mental health is crucial during antenatal consultations, in which expectant parents often receive serious news about their infant and sometimes face complex antenatal or postnatal decision-making. Being considerate of the circumstances to mitigate barriers and stressors, utilizing clear and sensitive language, and personalizing counseling and decision-making to support parents' pluralistic values are strategies that individual neonatologists can use to promote parents' mental wellness in these encounters. Partnership with clinicians of other disciplines and professions in antenatal consultations can help in providing additional medical information and parent support; however, care must be coordinated within the team to ensure that confusing or conflicting counseling is avoided. In addition to improving communication skills for these encounters as individuals and teams, opportunities also exist to enhance support of parents' mental health at the institutional and national level.
在产前咨询期间,支持准父母的情绪和心理健康至关重要,因为准父母在这一过程中常常会收到有关其婴儿的严重消息,有时还会面临复杂的产前或产后决策。考虑到具体情况以减轻障碍和压力源、使用清晰且体贴的语言、根据准父母的多元价值观进行个性化咨询和决策,这些都是新生儿科医生个人在这些接触中促进准父母心理健康可采用的策略。在产前咨询中与其他学科和专业的临床医生合作,有助于提供更多医疗信息并为准父母提供支持;然而,团队内部必须协调好护理工作,以确保避免出现令人困惑或相互矛盾的咨询。除了作为个人和团队提高在这些接触中的沟通技巧外,在机构和国家层面也有机会加强对准父母心理健康的支持。