[Palliative care in the neonatal period. Part one: general considerations].
In France, the law dated 22 April 2005 required that all practitioners offer palliative care to patients as an alternative to unreasonable obstinacy. The practical development of palliative care during the neonatal period is not easy, even though obstetricians and neonatologists have always been aware of the ethical necessity of comfort in the dying newborn. The decision leading to palliative care begins with the recognition of patent or potential unreasonable obstinacy, followed by withdrawing treatment and technical support, and finally a palliative care plan is drawn up with the medical team and the parents.
Bétrémieux
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Unité de réanimation pédiatrique, hôpital Sud, CHU de Rennes, 16, boulevard de Bulgarie, 35203 Rennes cedex 2, France. pierre.betremieux@chu-rennes.fr
Gold
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Parat
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Caeymaex
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Danan
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De Dreuzy
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Vernier
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Viallard
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Kuhn
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D000328:Adult; D002648:Child; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000628:therapy*; D003299:Cooperative Behavior; D003657:Decision Making; D004992:Ethics, Medical; D005602:France; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000175:diagnosis / Q000628:therapy*; D033183:Interdisciplinary Communication; D008020:Life Support Care / Q000941:ethics / Q000331:legislation & jurisprudence; D010166:Palliative Care / Q000941:ethics* / Q000331:legislation & jurisprudence; D010348:Patient Care Team / Q000941:ethics / Q000331:legislation & jurisprudence; D011368:Professional-Family Relations; D028761:Withholding Treatment / Q000941:ethics / Q000331:legislation & jurisprudence