Ethical Considerations in Perinatal Palliative Care

J Obstet Gynecol Neonatal Nurs. 2017 May-Jun;46(3):367-377. doi: 10.1016/j.jogn.2017.01.011. Epub 2017 Apr 6.

Abstract

Clinicians may face new ethical considerations when parents continue pregnancies after receiving life-limiting fetal diagnoses and desire palliative care. In this article we present four ethical considerations in perinatal palliative care: ambiguous terminology in relation to diagnosis or prognosis, differences between bereavement support and palliative care, neonatal organ donation, and postdeath cooling. In this article, we enable readers to consider current topics from different perspectives and reflect on care when confronted with sensitive clinical scenarios.

Keywords: clinical ethics; organ donation; perinatal bereavement; perinatal palliative care; shared decision making.

Publication types

  • Review

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Bereavement
  • Decision Making / ethics*
  • Female
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal / organization & administration*
  • Male
  • Palliative Care / ethics*
  • Palliative Care / methods
  • Parents / psychology
  • Perinatal Care / ethics*
  • Perinatal Care / methods
  • Pregnancy
  • Professional-Family Relations / ethics*
  • Risk Assessment
  • Tissue and Organ Procurement / ethics
  • United States