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Components of Perinatal Palliative Care: An Integrative Review

When a severe diagnosis is made before or after birth, perinatal palliative care (PPC) can be provided to support the infant, parents and involved healthcare providers. An integrative and systematic overview of effectiveness and working components of existing PPC programs was needed. An integrative...

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Autores principales: Dombrecht, Laure, Chambaere, Kenneth, Beernaert, Kim, Roets, Ellen, De Vilder De Keyser, Mona, De Smet, Gaëlle, Roelens, Kristien, Cools, Filip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047326/
https://www.ncbi.nlm.nih.gov/pubmed/36980040
http://dx.doi.org/10.3390/children10030482
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author Dombrecht, Laure
Chambaere, Kenneth
Beernaert, Kim
Roets, Ellen
De Vilder De Keyser, Mona
De Smet, Gaëlle
Roelens, Kristien
Cools, Filip
author_facet Dombrecht, Laure
Chambaere, Kenneth
Beernaert, Kim
Roets, Ellen
De Vilder De Keyser, Mona
De Smet, Gaëlle
Roelens, Kristien
Cools, Filip
author_sort Dombrecht, Laure
collection PubMed
description When a severe diagnosis is made before or after birth, perinatal palliative care (PPC) can be provided to support the infant, parents and involved healthcare providers. An integrative and systematic overview of effectiveness and working components of existing PPC programs was needed. An integrative search was conducted in MEDLINE, Embase, CENTRAL, CINAHL, PsycInfo and Web of Science. Study designs examining the effect of PPC compared to regular care, and (empirical) articles describing the components of care included in existing PPC initiatives were included. Three independent authors reviewed titles, abstracts and full texts against eligibility criteria. PRISMA guidelines were followed; 21.893 records were identified; 69 publications met inclusion criteria. Twelve publications (17.4%) discussed the effect of a PPC program. Other publications concerned the description of PPC programs, most often by means of a program description (22/69; 31.9%), guidelines (14/769; 20.3%) or case study (10/69; 14.5%). Outcome measures envisioned four main target categories: care coordination, parents and family members, care for the fetus/neonate and healthcare providers. No trials exist to date. Analysis of working components revealed components related to changes directed to the policy of the hospital wards and components involving actual care being provided within the PPC program, directed to the fetus or infant, the family, involved healthcare providers or external actors. PPC is a growing research field where evidence consists mainly of descriptive studies and guidelines. The extensive list of possible PPC components can serve as a checklist for developing future initiatives worldwide. PPC includes several important actors: the fetus/infant and their family and included healthcare providers on both maternity and neonatal wards. This leads to a large variety of possible care components. However, while some studies show proof of concept, an evidence base to determine which components are actually effective is lacking.
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spelling pubmed-100473262023-03-29 Components of Perinatal Palliative Care: An Integrative Review Dombrecht, Laure Chambaere, Kenneth Beernaert, Kim Roets, Ellen De Vilder De Keyser, Mona De Smet, Gaëlle Roelens, Kristien Cools, Filip Children (Basel) Systematic Review When a severe diagnosis is made before or after birth, perinatal palliative care (PPC) can be provided to support the infant, parents and involved healthcare providers. An integrative and systematic overview of effectiveness and working components of existing PPC programs was needed. An integrative search was conducted in MEDLINE, Embase, CENTRAL, CINAHL, PsycInfo and Web of Science. Study designs examining the effect of PPC compared to regular care, and (empirical) articles describing the components of care included in existing PPC initiatives were included. Three independent authors reviewed titles, abstracts and full texts against eligibility criteria. PRISMA guidelines were followed; 21.893 records were identified; 69 publications met inclusion criteria. Twelve publications (17.4%) discussed the effect of a PPC program. Other publications concerned the description of PPC programs, most often by means of a program description (22/69; 31.9%), guidelines (14/769; 20.3%) or case study (10/69; 14.5%). Outcome measures envisioned four main target categories: care coordination, parents and family members, care for the fetus/neonate and healthcare providers. No trials exist to date. Analysis of working components revealed components related to changes directed to the policy of the hospital wards and components involving actual care being provided within the PPC program, directed to the fetus or infant, the family, involved healthcare providers or external actors. PPC is a growing research field where evidence consists mainly of descriptive studies and guidelines. The extensive list of possible PPC components can serve as a checklist for developing future initiatives worldwide. PPC includes several important actors: the fetus/infant and their family and included healthcare providers on both maternity and neonatal wards. This leads to a large variety of possible care components. However, while some studies show proof of concept, an evidence base to determine which components are actually effective is lacking. MDPI 2023-03-01 /pmc/articles/PMC10047326/ /pubmed/36980040 http://dx.doi.org/10.3390/children10030482 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Dombrecht, Laure
Chambaere, Kenneth
Beernaert, Kim
Roets, Ellen
De Vilder De Keyser, Mona
De Smet, Gaëlle
Roelens, Kristien
Cools, Filip
Components of Perinatal Palliative Care: An Integrative Review
title Components of Perinatal Palliative Care: An Integrative Review
title_full Components of Perinatal Palliative Care: An Integrative Review
title_fullStr Components of Perinatal Palliative Care: An Integrative Review
title_full_unstemmed Components of Perinatal Palliative Care: An Integrative Review
title_short Components of Perinatal Palliative Care: An Integrative Review
title_sort components of perinatal palliative care: an integrative review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047326/
https://www.ncbi.nlm.nih.gov/pubmed/36980040
http://dx.doi.org/10.3390/children10030482
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