Journal article
Physician attitudes in Romania toward withholding and withdrawal of intensive care for infants with very poor prognosis
American journal of perinatology, Vol.31(6), pp.477-482
06/2014
DOI: 10.1055/s-0033-1353440
PMID: 23966124
Abstract
The purpose of this study was to examine the attitudes of Romanian physicians toward withholding and withdrawing intensive care for infants whose prognosis is very poor.
A survey tool was developed by the authors and completed by participants in the annual meeting of the Neonatology Association of Romania.
The majority of respondents attempt resuscitation of all live-born infants, have never stopped resuscitation at birth while the infant was still alive, and have never stopped respiratory support because of poor prognosis. Nearly all respondents were uncomfortable talking with parents about withholding or withdrawing intensive care, and they were also uncomfortable talking to the parents about the death of their infant.
Romanian physicians are uniformly reluctant to withhold or withdraw intensive care for infants, even those with very poor prognosis. In addition, physicians are very uncomfortable talking with parents about limiting or stopping support and talking about the death of an infant. Educational programs targeting the communication of difficult topics with parents have the potential to decrease the discomfort experienced by physicians in conversing with parents about their child's poor prognosis or death.
Details
- Title: Subtitle
- Physician attitudes in Romania toward withholding and withdrawal of intensive care for infants with very poor prognosis
- Creators
- Edward F Bell - Department of Pediatrics, University of Iowa, Iowa City, IowaAnca Roxana Bivoleanu - Regional Neonatal Intensive Care Unit, Department of Neonatology, Cuza-Voda Maternity Hospital, Iaşi, RomaniaMaria Stamatin - Regional Neonatal Intensive Care Unit, Department of Neonatology, Cuza-Voda Maternity Hospital, Iaşi, RomaniaSilvia-Maria Stoicescu - Department of Neonatology, Carol Davila University of Medicine and Pharmacy, Bucureşti, Romania
- Resource Type
- Journal article
- Publication Details
- American journal of perinatology, Vol.31(6), pp.477-482
- DOI
- 10.1055/s-0033-1353440
- PMID
- 23966124
- ISSN
- 0735-1631
- eISSN
- 1098-8785
- Language
- English
- Date published
- 06/2014
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology
- Record Identifier
- 9984093324202771
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