title: When One Knows a Fetus Is Expected to Die: Palliative Care in the Context of Prenatal Diagnosis of Fetal Malformations.
abstract: Fetal malformations occur in 2% of gestations and are the fifth most common cause of neonatal death in the world. In many cases, fetal malformations result in neonatal death or long stay in intensive care facilities. Families that continue the pregnancy in such a situation need to make choices and cope with an overwhelming number of potential issues. Palliative care starting at the prenatal period is a growing field that allows the entire family to prepare for this difficult situation.
  
  
  
  To perform a systematic review of published data on palliative care in the prenatal period.
  
  
  
  PubMed and the Cochrane Library were searched using the keywords ("perinatal" OR "prenatal" OR "fetal") AND "palliative care" and also ("perinatal" OR "prenatal" OR "fetal") AND "hospice."
  
  
  
  Studies focusing on the long-term impact of prenatal palliative care published up to December 2015 were used.
  
  
  
  Quantitative and qualitative studies.
  
  
  
  In total, 541 studies were retrieved; 29 articles met the inclusion criteria. Studies were organized into different categories according to the design or main focus. The majority of studies retrieved were reflexives or presented a narrative proposal on palliative care started in the prenatal period (45%). Clinical studies comprised 17% of all articles found. No studies were found on the long-term impact of prenatal palliative care.
  
  
  
  Prenatal palliative care is a growing field and an important supportive care measure that can help grieving parents and families who do not want to or cannot interrupt their pregnancy. More studies should be carried out, specifically concerning long-term impact of prenatal palliative care. Guidelines and training of health professionals must be developed so that more families can benefit from this type of care.
authors.affiliation: 1 Department of Obstetrics and Gynecology, Clinics Hospital, University of São Paulo , São Paulo, Brazil .
authors.forename: Taisa
authors.initials: T
authors.lastname: Rocha Catania
authors.affiliation: 1 Department of Obstetrics and Gynecology, Clinics Hospital, University of São Paulo , São Paulo, Brazil .
authors.forename: Lisandra
authors.initials: L
authors.lastname: Bernardes
authors.affiliation: 2 Division of Psychology, Clinics Hospital, University of São Paulo , São Paulo, Brazil .
authors.forename: Glaucia Rosana
authors.initials: GR
authors.lastname: Guerra Benute
authors.affiliation: 3 Neonatal Unit, Department of Pediatrics, Clinics Hospital, University of São Paulo , São Paulo, Brazil .
authors.forename: Maria Augusta
authors.initials: MA
authors.lastname: Bento Cicaroni Gibeli
authors.affiliation: 4 Nurse Division, Clinics Hospital, University of São Paulo , São Paulo, Brazil .
authors.forename: Nathalia
authors.initials: N
authors.lastname: Bertolassi do Nascimento
authors.affiliation: 5 Social Assistance Division, Clinics Hospital, University of São Paulo , São Paulo, Brazil .
authors.forename: Tercilia Virginia
authors.initials: TV
authors.lastname: Aparecida Barbosa
authors.affiliation: 3 Neonatal Unit, Department of Pediatrics, Clinics Hospital, University of São Paulo , São Paulo, Brazil .
authors.forename: Vera Lucia
authors.initials: VL
authors.lastname: Jornada Krebs
authors.affiliation: 1 Department of Obstetrics and Gynecology, Clinics Hospital, University of São Paulo , São Paulo, Brazil .
authors.forename: Rossana P V
authors.initials: RPV
authors.lastname: Francisco
mesh_terms: D005260:Female; D005333:Fetus / Q000002:abnormalities*; D006801:Humans; D008297:Male; D010166:Palliative Care; D011296:Prenatal Diagnosis; D036301:Qualitative Research; D013727:Terminal Care
keywords: congenital abnormality; fetal malformation; palliative care; perinatal; pregnancy; prenatal