BACKGROUND Today the limitation of therapeutic effort and the neonatal palliative care are extremely important and had been increasingly done by several countries. Nevertheless, in Portugal, studies and guidelines regarding end of life attitudes are still a shortage. MATERIAL AND METHODS We analyzed 49 files in a retrospective review of neonatal deaths between 2010 and 2012; the results were ...

Parents and health care professionals may disagree about whether to continue or discontinue life support for infants in the neonatal intensive care unit (NICU) when the infant has an extremely poor chance of survival and/or probably has profound neurological damage. Conflict usually occurs when the parents want everything possible done to keep their infant alive, while the medical team believes...

introduction : general practitioners (gps) have the main responsibility in medical and particularly palliative care provision in most of countries, though this is not the current case in iran. development of 'family physician' approach in rural and most of the urban areas in iran, gps will have the main role in care provision. there is no formal palliative care education during general medical ...

OBJECTIVE To characterize cases of children admitted to the Neonatal Intensive Care Unit of a tertiary university hospital who died in the period ranging from January 01, 2012 to July 31, 2014, and who required palliative care and/or were subjected to it. METHODS A retrospective descriptive study was carried out by reviewing the medical records of these patients to collect data and to perform...

Recent progress in neonatal care have significantly improved the prognosis and chances of survival of critically ill or extremely preterm neonates and have modified the limits of viability. However, in some circumstances, when the child's death can only be briefly postponed at the price of severe suffering, or when survival is associated with severe disabilities and an intolerable life for the ...

Neonatal palliative care aims to provide multidisciplinary support families and neonates suffering from life-threatening or life-limiting diseases. Many countries worldwide have recognized the importance of enhancing quality life in critically ill thus created systematically implemented protocols neonatal intensive units (NICUs). Europe has a very low mortality rate, which been steadily decreas...

In this case, we explore physician conflict with performing surgery (tracheostomy) for long-term ventilation in a term infant trisomy 18 and respiratory failure. Experts neonatal-perinatal medicine, pediatric bioethics, palliative care have provided comments on case. An additional commentary was written by the parent of another 18, who is also medical provider (physical therapist).

OBJECTIVE To examine the opinions of a perinatal health team regarding decisions related to late termination of pregnancy and severely ill newborns. MATERIALS AND METHODS An anonymous questionnaire was administered to physicians, social workers, and nurses in perinatal care. Differences were evaluated using the chi square and Student's t tests. RESULTS When considering severely ill fetuses ...