Development of a Perinatal Palliative Care Model at a Level II Perinatal Center Supported by a Pediatric Palliative Care Network
Objective: To describe the model build up to take care of fetuses and newborns eligible to perinatal palliative care (PnPC) followed in an Italian II level perinatal center.Methods: Retrospective chart review of all fetuses and newborn infants eligible to PnPC admitted to level II perinatal center w...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-01-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2020.574397/full |
| _version_ | 1818428962762653696 |
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| author | Marco Bolognani Marco Bolognani Paola Daniela Morelli Isabella Scolari Cristina Dolci Valentina Fiorito Francesca Uez Silvia Graziani Barbara Stefani Barbara Stefani Francesca Zeni Francesca Zeni Gino Gobber Elena Bravi Saverio Tateo Massimo Soffiati |
| author_facet | Marco Bolognani Marco Bolognani Paola Daniela Morelli Isabella Scolari Cristina Dolci Valentina Fiorito Francesca Uez Silvia Graziani Barbara Stefani Barbara Stefani Francesca Zeni Francesca Zeni Gino Gobber Elena Bravi Saverio Tateo Massimo Soffiati |
| author_sort | Marco Bolognani |
| collection | DOAJ |
| description | Objective: To describe the model build up to take care of fetuses and newborns eligible to perinatal palliative care (PnPC) followed in an Italian II level perinatal center.Methods: Retrospective chart review of all fetuses and newborn infants eligible to PnPC admitted to level II perinatal center within a 4 years period.Results: Forty-five of 848 infants (0.5%) referred to II level NICU were eligible to PnPC. Twenty-seven percentage had fetal diagnosis. Twenty percentage were preterm infants at the limit of viability, 35% were newborns with life limiting or life threatening disease diagnosed in utero or at the postnatal ward, 45% were newborns not responding to intensive care intervention with high health care needs or medical complexity. Fifty-seven percentage of neonates admitted to NICU died before discharge, while 16 (35% of population considered) were discharged home. Median age at death was 4 days after birth, and delivery room death immediately after birth occurred in six patients (13%).Conclusions: Despite the paucity of our population and the high variability in disease trajectories the perinatal palliative care program build up in our region provides a reproducible method for a structured taking in charge of fetuses and neonates eligible to PnPC and their families, from the time of diagnosis to bereavement, in both outpatient and inpatient settings. |
| first_indexed | 2024-12-14T15:09:57Z |
| format | Article |
| id | doaj.art-8441aad8650f456994b405585688d45d |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-14T15:09:57Z |
| publishDate | 2021-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-8441aad8650f456994b405585688d45d2022-12-21T22:56:35ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-01-01810.3389/fped.2020.574397574397Development of a Perinatal Palliative Care Model at a Level II Perinatal Center Supported by a Pediatric Palliative Care NetworkMarco Bolognani0Marco Bolognani1Paola Daniela Morelli2Isabella Scolari3Cristina Dolci4Valentina Fiorito5Francesca Uez6Silvia Graziani7Barbara Stefani8Barbara Stefani9Francesca Zeni10Francesca Zeni11Gino Gobber12Elena Bravi13Saverio Tateo14Massimo Soffiati15Department of Neonatology, Santa Chiara Hospital, Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyDepartment of Neonatology, Santa Chiara Hospital, Trento, ItalyDepartment of Neonatology, Santa Chiara Hospital, Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyDepartment of Neonatology, Santa Chiara Hospital, Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyAzienda Provinciale per i Servizi Sanitari (APSS), Trento, ItalyDepartment of Neonatology, Santa Chiara Hospital, Trento, ItalyObjective: To describe the model build up to take care of fetuses and newborns eligible to perinatal palliative care (PnPC) followed in an Italian II level perinatal center.Methods: Retrospective chart review of all fetuses and newborn infants eligible to PnPC admitted to level II perinatal center within a 4 years period.Results: Forty-five of 848 infants (0.5%) referred to II level NICU were eligible to PnPC. Twenty-seven percentage had fetal diagnosis. Twenty percentage were preterm infants at the limit of viability, 35% were newborns with life limiting or life threatening disease diagnosed in utero or at the postnatal ward, 45% were newborns not responding to intensive care intervention with high health care needs or medical complexity. Fifty-seven percentage of neonates admitted to NICU died before discharge, while 16 (35% of population considered) were discharged home. Median age at death was 4 days after birth, and delivery room death immediately after birth occurred in six patients (13%).Conclusions: Despite the paucity of our population and the high variability in disease trajectories the perinatal palliative care program build up in our region provides a reproducible method for a structured taking in charge of fetuses and neonates eligible to PnPC and their families, from the time of diagnosis to bereavement, in both outpatient and inpatient settings.https://www.frontiersin.org/articles/10.3389/fped.2020.574397/fulllife limiting conditionspediatric palliative careperinatal palliative carelife threatening conditionsfetal diagnosis |
| spellingShingle | Marco Bolognani Marco Bolognani Paola Daniela Morelli Isabella Scolari Cristina Dolci Valentina Fiorito Francesca Uez Silvia Graziani Barbara Stefani Barbara Stefani Francesca Zeni Francesca Zeni Gino Gobber Elena Bravi Saverio Tateo Massimo Soffiati Development of a Perinatal Palliative Care Model at a Level II Perinatal Center Supported by a Pediatric Palliative Care Network Frontiers in Pediatrics life limiting conditions pediatric palliative care perinatal palliative care life threatening conditions fetal diagnosis |
| title | Development of a Perinatal Palliative Care Model at a Level II Perinatal Center Supported by a Pediatric Palliative Care Network |
| title_full | Development of a Perinatal Palliative Care Model at a Level II Perinatal Center Supported by a Pediatric Palliative Care Network |
| title_fullStr | Development of a Perinatal Palliative Care Model at a Level II Perinatal Center Supported by a Pediatric Palliative Care Network |
| title_full_unstemmed | Development of a Perinatal Palliative Care Model at a Level II Perinatal Center Supported by a Pediatric Palliative Care Network |
| title_short | Development of a Perinatal Palliative Care Model at a Level II Perinatal Center Supported by a Pediatric Palliative Care Network |
| title_sort | development of a perinatal palliative care model at a level ii perinatal center supported by a pediatric palliative care network |
| topic | life limiting conditions pediatric palliative care perinatal palliative care life threatening conditions fetal diagnosis |
| url | https://www.frontiersin.org/articles/10.3389/fped.2020.574397/full |
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