Turchiano F, Romiti A, Tudisco R, Bisanti M, Polsinelli V, Penza V, Salvi S, Lanzone A
Obstetrics and Obstetrical Pathology Unit, Department of Women's and Child Health and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Obstetrics and Gynecological Unit, Department of Women's and Child Health and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Eur J Pediatr. 2024 Dec 26;184(1):106. doi: 10.1007/s00431-024-05928-2.
Advancements in neonatal critical care continue, enhancing perinatal communication is essential to address the bioethical challenges faced. In perinatal care, various life-limiting or life-threatening conditions that address ethical issues can arise, both during the prenatal and postnatal phases. The diagnosis, prognosis, and potential treatment of these conditions significantly influence the lives of both the unborn child and the newborn, thereby directly impacting parental choices and experiences. This review arises from the necessity to highlight the importance of developing a structured framework concerning the critical components of perinatal care, with a specific focus on the pivotal role of communication. A standardized approach is recommended for counseling at the time of diagnosis of critical fetal conditions, to care for the couple and to support their decision making.
In perinatal critical clinical scenarios, it is imperative that healthcare providers communicate to parents using effective communication strategies, with standardized frameworks. Moreover, integrating perinatal palliative care into the treatment pathway for fetuses with limited life expectancy is essential, within referral centers.
• In perinatal care, different life-limiting or life-threatening conditions that address ethical issues can arise, both during the prenatal and postnatal phases. • The diagnosis, prognosis, and potential treatment of critical fetal and postnatal conditions significantly affect the lives of the child and parents.
• Communication has a pivotal role concerning the critical components of perinatal care. • A standardized approach is recommended for counseling at the time of diagnosis of critical fetal conditions, to care for the couple and to support their decision making.
新生儿重症监护不断取得进展，加强围产期沟通对于应对所面临的生物伦理挑战至关重要。在围产期护理中，无论是产前还是产后阶段，都可能出现各种涉及伦理问题的危及生命或限制生命的情况。这些情况的诊断、预后和潜在治疗方法会显著影响未出生胎儿和新生儿的生命，从而直接影响父母的选择和经历。本综述源于强调制定一个关于围产期护理关键组成部分的结构化框架的重要性的必要性，特别关注沟通的关键作用。建议采用标准化方法在诊断严重胎儿疾病时进行咨询，以照顾夫妇并支持他们的决策。
在围产期危急临床场景中，医疗保健提供者必须使用有效的沟通策略和标准化框架与父母进行沟通。此外，在转诊中心，将围产期姑息治疗纳入预期寿命有限的胎儿的治疗途径至关重要。
• 在围产期护理中，产前和产后阶段都可能出现各种涉及伦理问题的危及生命或限制生命的情况。• 严重胎儿和产后疾病的诊断、预后和潜在治疗方法会显著影响儿童和父母的生活。
• 沟通在围产期护理的关键组成部分中起着关键作用。• 建议采用标准化方法在诊断严重胎儿疾病时进行咨询，以照顾夫妇并支持他们的决策。
