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End-of-life decisions in perinatal care: A view from health-care providers in Mexico / Decisiones sobre el final de la vida en la atención perinatal: Una visión del equipo de salud en México
Grether, Patricia; Lisker, Rubén; Loria, Alvar; Álvarez-del-Río, Asunción.
  • Grether, Patricia; Instituto Nacional de Perinatología. México. MX
  • Lisker, Rubén; Instituto Nacional de Perinatología. México. MX
  • Loria, Alvar; Instituto Nacional de Perinatología. México. MX
  • Álvarez-del-Río, Asunción; Instituto Nacional de Perinatología. México. MX
Salud pública Méx ; 57(6): 489-495, nov.-dic. 2015. tab
Article in English | LILACS | ID: lil-770749
ABSTRACT
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 alternative. 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.
RESUMEN
Objetivo. Explorar la opinión del equipo de salud sobre las decisiones relacionadas con la atención de fetos y neonatos gravemente enfermos. Material y métodos. Se aplicó un cuestionario anónimo a médicos, trabajadoras sociales y enfermeras perinatales. Las diferencias se evaluaron con las pruebas chi cuadrada y t de Student. Resultados. Al tratar fetos y neonatos gravemente enfermos, 82 y 93% de los participantes optaron, respectivamente, por atención paliativa. El 18% consideró el feticidio como alternativa. Quienes optaron por atención paliativa, lo hicieron para disminuir el sufrimiento, mientras que los que eligieron cuidados intensivos lo hicieron para proteger la vida o la sacralidad de la vida. Nuestro estudio mostró un pobre conocimiento de las leyes que regulan estas decisiones. Conclusiones. Aun cuando no existe un consenso sobre las decisiones que deben tomarse con fetos o neonatos gravemente enfermos, la mayoría consideró como primera opción los cuidados paliativos, aunque el feticidio y la muerte neonatal inducida no se descartaron.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Physicians / Terminal Care / Attitude of Health Personnel / Perinatal Care / Decision Making / Social Workers / Nurses Type of study: Prognostic study / Qualitative research Limits: Adult / Aged / Female / Humans / Male / Infant, Newborn / Pregnancy Country/Region as subject: Mexico Language: English Journal: Salud pública Méx Journal subject: Public Health Year: 2015 Type: Article Affiliation country: Mexico Institution/Affiliation country: Instituto Nacional de Perinatología/MX

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Full text: Available Index: LILACS (Americas) Main subject: Physicians / Terminal Care / Attitude of Health Personnel / Perinatal Care / Decision Making / Social Workers / Nurses Type of study: Prognostic study / Qualitative research Limits: Adult / Aged / Female / Humans / Male / Infant, Newborn / Pregnancy Country/Region as subject: Mexico Language: English Journal: Salud pública Méx Journal subject: Public Health Year: 2015 Type: Article Affiliation country: Mexico Institution/Affiliation country: Instituto Nacional de Perinatología/MX