Clinical analysis of 172 cases of neonatal death after giving up treatment
10.3760/cma.j.cn431274-20220624-00596
- VernacularTitle:新生儿放弃治疗后死亡172例临床分析
- Author:
Muhua CHEN
1
;
Qian TANG
;
Lihui ZHU
;
Yan ZHUANG
;
Xirong GAO
;
Xiaoming PENG
;
Na ZHANG
;
Ruiwen HUANG
Author Information
1. 湖南省儿童医院新生儿科，长沙 410000
- Keywords:
Infant, newborn, diseases;
Withholding treatment;
Infant death;
Parents;
Emotional needs
- From:
Journal of Chinese Physician
2023;25(1):51-55
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the situation of dead newborns and their parents after parents gave up treatment, and analyze the reasons and emotional needs of parents who gave up treatment, so as to provide reference for reducing neonatal mortality and negative emotions of parents.Methods:A retrospective study was conducted to collect the data of neonates and mothers who died after giving up treatment reported in Hunan Children′s Hospital from January 2019 to December 2021. The general information, perinatal risk factors, and the incidence of in-hospital diseases were analyzed. Then, semi-structured interviews were conducted with parents of newborns who died after giving up treatment from February to December 2021. Understand why parents give up treatment and their emotional needs.Results:A total of 172 newborns died after giving up were included in the analysis, including 103 males (59.88%) and 74 premature infants (43.02%); Umbilical cord, placenta and amniotic fluid abnormalities were 21 cases (12.21%), 39 cases (22.67%) and 25 cases (14.53%), respectively. Birth asphyxia was 31 cases (18.02%), including severe asphyxia in 18 cases (10.46%); There were 21 (12.21%), 35 (20.35%) and 30 (17.44%) cases of maternal infection in the third trimester, hypertension in pregnancy and diabetes in pregnancy, respectively. The top three causes of death were septicemia (18.02%), congenital malformation (16.86%) and severe pneumonia (10.47%). The main reason why parents give up treatment was that the child′s disease was critical and irreversible, and parents had strong emotional needs for hospice care in their hearts.Conclusions:There are many high risk factors of perinatal death of newborns after giving up treatment. Sepsis is the primary cause of death, and strengthening perinatal health care is fundamental. Parents have a strong demand for hospice care, so it is of practical significance to implement family-centered hospice care model for such special newborns.
