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J Perinatol. 2014 Jun;34(6):483-7. doi: 10.1038/jp.2014.40. Epub 2014 Mar 20.

Neonatal outcomes of fetuses diagnosed with life-limiting conditions when individualized comfort measures are proposed.

Author information

1
Division of Neonatology, Department of Pediatrics, Morgan Stanley Children's Hospital of NewYork-Presbyterian, Columbia University Medical Center, New York, NY, USA.

Abstract

OBJECTIVE:

To describe the neonatal outcomes of a case series of infants who were prenatally diagnosed with potential life-limiting conditions and to whom individualized comfort measures were offered.

STUDY DESIGN:

This is a retrospective analysis of the postnatal outcomes of a selected population of 49 infants prenatally diagnosed with potential life-limiting conditions whose parents were prenatally referred for counseling to the comfort care team.

RESULT:

The prenatal diagnosis was confirmed postnatally in 45 infants. The only four survivors had a significant discrepancy between prenatal and postnatal diagnosis. Whether they were treated with individualized comfort measures (n=28) or intensive care (n=17), all the newborns died with similar median age at death (2 days).

CONCLUSION:

Diagnostic accuracy is the main determinant of outcomes. Provision of intensive care neither prevents the death of infants affected by life-limiting conditions nor prolongs life compared with that of infants treated with individualized comfort measures.

PMID:
24651733
DOI:
10.1038/jp.2014.40
[Indexed for MEDLINE]

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