End-of-life decisions in perinatal care. A view from health-care providers
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 evalu...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Salud Pública
2015-11-01
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| Series: | Salud Pública de México |
| Subjects: | |
| Online Access: | http://www.saludpublica.mx/index.php/spm/article/view/7637 |
| _version_ | 1819085528089231360 |
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| author | Patricia Grether Rubén Lisker Alvar Loria Asunción Álvarez-del-Río |
| author_facet | Patricia Grether Rubén Lisker Alvar Loria Asunción Álvarez-del-Río |
| author_sort | Patricia Grether |
| collection | DOAJ |
| description | 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 and newborns, 82% and 93% of participants, respectively, opted for providing palliative care, whereas 18% considered feticide as an alter- native. Those who opted for palliative care aimed to diminish suffering and those who opted for intensive care intended to protect life or sanctity of life. There was poor knowledge about the laws that regulate these decisions. Conclusions. Although there is no consensus on what decisions should be taken with severely ill fetuses or neonates, most participants considered palliative care as the first option, but feticide or induced neonatal death was not ruled out. |
| first_indexed | 2024-12-21T21:05:47Z |
| format | Article |
| id | doaj.art-092fd122ec6b4286ae4a12084d38dc2f |
| institution | Directory Open Access Journal |
| issn | 0036-3634 1606-7916 |
| language | English |
| last_indexed | 2024-12-21T21:05:47Z |
| publishDate | 2015-11-01 |
| publisher | Instituto Nacional de Salud Pública |
| record_format | Article |
| series | Salud Pública de México |
| spelling | doaj.art-092fd122ec6b4286ae4a12084d38dc2f2022-12-21T18:50:18ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36341606-79162015-11-0157648949510.21149/spm.v57i6.763716087End-of-life decisions in perinatal care. A view from health-care providersPatricia Grether0Rubén Lisker1Alvar Loria2Asunción Álvarez-del-Río3Instituto Nacional de Perinatología. México DF, México; Colegio de Bioética. México DF, MéxicoColegio de Bioética. México DF, México; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. México DF, MéxicoInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. México DF, México.Colegio de Bioética. México DF, México; Universidad Nacional Autónoma de Mexico. Mexico City, Mexico.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 and newborns, 82% and 93% of participants, respectively, opted for providing palliative care, whereas 18% considered feticide as an alter- native. Those who opted for palliative care aimed to diminish suffering and those who opted for intensive care intended to protect life or sanctity of life. There was poor knowledge about the laws that regulate these decisions. Conclusions. Although there is no consensus on what decisions should be taken with severely ill fetuses or neonates, most participants considered palliative care as the first option, but feticide or induced neonatal death was not ruled out.http://www.saludpublica.mx/index.php/spm/article/view/7637perinatal carefetusesperinatal deathneonatesdecision makingMexico |
| spellingShingle | Patricia Grether Rubén Lisker Alvar Loria Asunción Álvarez-del-Río End-of-life decisions in perinatal care. A view from health-care providers Salud Pública de México perinatal care fetuses perinatal death neonates decision making Mexico |
| title | End-of-life decisions in perinatal care. A view from health-care providers |
| title_full | End-of-life decisions in perinatal care. A view from health-care providers |
| title_fullStr | End-of-life decisions in perinatal care. A view from health-care providers |
| title_full_unstemmed | End-of-life decisions in perinatal care. A view from health-care providers |
| title_short | End-of-life decisions in perinatal care. A view from health-care providers |
| title_sort | end of life decisions in perinatal care a view from health care providers |
| topic | perinatal care fetuses perinatal death neonates decision making Mexico |
| url | http://www.saludpublica.mx/index.php/spm/article/view/7637 |
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