title: [Antenatal palliative plan following diagnosis of fetal lethal condition: Rennes Teaching Hospital experience].
abstract: OBJECTIVE
  To study the pregnancies followed at Rennes University Hospital from 2006 to 2012, after prenatal diagnosis of lethal fetal condition and prenatal project of palliative care at birth consisting of comfort care emphasizing parent-child encounters and bonding.
  
  
  METHODS
  Retrospective study of 20 pregnancies with diagnosis of lethal fetal condition where parents accepted antenatally the proposal or sought for palliative care at birth.
  
  
  RESULTS
  Diagnosis was made at a median age of 20 weeks gestation (12-33). Birth occurred at 37.4 WG, 6 caesarean sections were performed for maternal conditions. Six cases of hypoplastic left heart syndrome (HLHS) share common characteristics: good Apgar score, prolonged survival (26hours to 159days) transfer to neonatology ward (6) or later at home (4). In four multiple pregnancies, the choice of SP mainly contributed to protect healthy twins during pregnancy. In birth room, there was no need for invasive procedure or drugs. Death: one occurred during labor, 8 in birth room before H2, others in neonatal ward before d4 (excluding HLHS).
  
  
  CONCLUSIONS
  These data will enable better antenatal preparation of both teams and parents. Lifetime, however short, allowed parents to meet with their child alive this permitting collection of memory traces and bonding.
authors.affiliation: Centre pluridisciplinaire de diagnostic prénatal de Rennes, hôpital Sud, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France. Electronic address: pierre.betremieux35@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Bétrémieux
authors.affiliation: Centre pluridisciplinaire de diagnostic prénatal de Rennes, hôpital Sud, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France.
authors.forename: J
authors.initials: J
authors.lastname: Druyer
authors.affiliation: Centre pluridisciplinaire de diagnostic prénatal de Rennes, hôpital Sud, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France.
authors.forename: I
authors.initials: I
authors.lastname: Bertorello
authors.affiliation: Centre pluridisciplinaire de diagnostic prénatal de Rennes, hôpital Sud, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France.
authors.forename: M-L
authors.initials: ML
authors.lastname: Huillery
authors.affiliation: Centre pluridisciplinaire de diagnostic prénatal de Rennes, hôpital Sud, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France.
authors.forename: C
authors.initials: C
authors.lastname: Brunet
authors.affiliation: Centre pluridisciplinaire de diagnostic prénatal de Rennes, hôpital Sud, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France.
authors.forename: G
authors.initials: G
authors.lastname: Le Bouar
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000628:therapy*; D000328:Adult; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis* / Q000628:therapy*; D005602:France; D006784:Hospitals, Teaching; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000175:diagnosis / Q000628:therapy; D007231:Infant, Newborn; D010166:Palliative Care / Q000379:methods* / Q000523:psychology; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011296:Prenatal Diagnosis; D012189:Retrospective Studies; D055815:Young Adult
keywords: Diagnostic anténatal; Lethal malformation; Malformation létale; Palliative care; Prenatal diagnosis; Soins palliatifs