Evidence map›Paper›PMID 30843464›Full record

ArticlePalliative medicine2019

Perinatal Palliative Care: A qualitative study evaluating the perspectives of pregnancy counselors.

Franziska Flaig, Julia D Lotz, Kathrin Knochel, Gian Domenico Borasio, Monika Führer, Kerstin Hein

Open access · hybridAbstract read
In one paragraph

Article in Palliative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Grasping the meaning of perinatal palliative care for the multiprofessional team.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Fetal Pain in the First Trimester.The Linacre quarterly · 2022
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Franziska Flaig1 Center for Pediatric Palliative Care, Dr. von Hauner Children's Hospital, Ludwig Maximilian University of Munich, Germany.ORCID 0000-0003-4317-0547
Julia D Lotz1 Center for Pediatric Palliative Care, Dr. von Hauner Children's Hospital, Ludwig Maximilian University of Munich, Germany.
Kathrin Knochel1 Center for Pediatric Palliative Care, Dr. von Hauner Children's Hospital, Ludwig Maximilian University of Munich, Germany.
Gian Domenico Borasio2 Palliative Care Service, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Monika Führer1 Center for Pediatric Palliative Care, Dr. von Hauner Children's Hospital, Ludwig Maximilian University of Munich, Germany.ORCID 0000-0002-2677-2303
Kerstin Hein1 Center for Pediatric Palliative Care, Dr. von Hauner Children's Hospital, Ludwig Maximilian University of Munich, Germany.
Ludwig-Maximilians-Universität München · DEUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA prenatal diagnosis of a life-limiting disease raises complex ethical, emotional, and medical issues. Studies suggest that 40%-85% of parents decide to continue the pregnancy if given the option of Perinatal Palliative Care. However, structured Perinatal Palliative Care programs are missing in many European countries. In Germany, parents have the right to free psychosocial support from pregnancy counseling services after the prenatal diagnosis of a life-limiting disease.

aimWe aimed to investigate whether German professional pregnancy counselors perceive the need for structured Perinatal Palliative Care and if so, how it should be conceived.

designThis is a qualitative interview study with purposeful sampling. The interviews were analyzed with the coding method of Saldaña. SETTING/

participantsA total of 10 professionals from three different pregnancy counseling services participated in the study.

resultsThe main topics raised by the professionals were as follows: (1) counseling and parental support during the decision-making process; (2) fragmented or missing support infrastructure for parents; and (3) challenges, hesitations, and barriers, particularly from the different stakeholders, regarding a Perinatal Palliative Care framework. They highlighted the importance of the integration of Perinatal Palliative Care in existing structures, a multi-professional approach, continuous coordination of care and education for all healthcare providers involved.

conclusionA structured Perinatal Palliative Care program is considered as necessary by the pregnancy counselors. Future research should focus on (1) needs reported by concerned parents; (2) attitude and role of all healthcare providers involved; (3) strategies to include stakeholders in the development of Perinatal Palliative Care networks; and (4) outcome parameters for evaluation of Perinatal Palliative Care frameworks.

Indexed as

Attitude to DeathGriefPractice Guidelines as TopicAdultCounselingDecision MakingFemaleFocus GroupsGermanyHumansMaleMiddle AgedPalliative CareParentsPerinatal CarePregnancyPalliative carepediatric palliative careperinatal careperinatal hospiceprenatal diagnosisqualitative research

Identifiers

PMID30843464
PMCPMC6535800
OpenAlexW2921577757

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.