Perinatal palliative care in sub-Saharan Africa: recommendations for practice, future research, and guideline development.
low-middle-income-countries
neonatal end-of-life care
neonatal intensive care
newborn bereavement
perinatal palliative care
sub-saharan Africa
Journal
Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492
Informations de publication
Date de publication:
2023
2023
Historique:
received:
05
05
2023
accepted:
13
06
2023
medline:
12
7
2023
pubmed:
12
7
2023
entrez:
12
7
2023
Statut:
epublish
Résumé
Worldwide, sub-Saharan Africa has the highest burden of global neonatal mortality (43%) and neonatal mortality rate (NMR): 27 deaths per 1,000 live births. The WHO recognizes palliative care (PC) as an integral, yet underutilized, component of perinatal care for pregnancies at risk of stillbirth or early neonatal death, and for neonates with severe prematurity, birth trauma or congenital anomalies. Despite bearing a disproportionate burden of neonatal mortality, many strategies to care for dying newborns and support their families employed in high-income countries (HICs) are not available in low-and-middle-income countries (LMICs). Many institutions and professional societies in LMICs lack guidelines or recommendations to standardize care, and existing guidelines may have limited adherence due to lack of space, equipment, supplies, trained professionals, and high patient load. In this narrative review, we compare perinatal/neonatal PC in HICs and LMICs in sub-Saharan Africa to identify key areas for future, research-informed, interventions that might be tailored to the local sociocultural contexts and propose actionable recommendations for these resource-deprived environments that may support clinical care and inform future professional guideline development.
Identifiants
pubmed: 37435165
doi: 10.3389/fped.2023.1217209
pmc: PMC10331424
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1217209Informations de copyright
© 2023 Abayneh, Rent, Ubuane, Carter, Deribessa, Kassa, Mekonnen Tekleab and Kukora.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Reprod Health. 2023 Feb 27;20(1):35
pubmed: 36850000
Front Pediatr. 2020 Oct 30;8:588432
pubmed: 33194921
Semin Fetal Neonatal Med. 2018 Feb;23(1):17-24
pubmed: 28917833
Children (Basel). 2023 Mar 01;10(3):
pubmed: 36980040
J Palliat Med. 2013 Oct;16(10):1232-6
pubmed: 24003992
Resuscitation. 2021 Apr;161:291-326
pubmed: 33773829
Lancet Glob Health. 2016 Feb;4(2):e98-e108
pubmed: 26795602
BJOG. 2021 Jan;128(1):101-109
pubmed: 32659031
Pediatrics. 2019 Aug;144(2):
pubmed: 31358664
Bioethics. 2014 Feb;28(2):84-95
pubmed: 23906387
Nurs Inq. 2020 Apr;27(2):e12330
pubmed: 31880024
BMC Pregnancy Childbirth. 2021 Jun 25;21(1):443
pubmed: 34172018
Cult Health Sex. 2012;14(4):393-405
pubmed: 22250576
Death Stud. 2000 Sep;24(6):497-540
pubmed: 11503666
J Perinatol. 2021 Jan;41(1):173-178
pubmed: 32999448
Patient Prefer Adherence. 2020 Jul 28;14:1295-1305
pubmed: 32801660
BMC Palliat Care. 2017 Nov 25;16(1):60
pubmed: 29178866
J Perinatol. 2016 May;36(5):331-7
pubmed: 26658120
Adv Neonatal Care. 2017 Dec;17(6):451-460
pubmed: 29059069
Front Glob Womens Health. 2022 Nov 01;3:984386
pubmed: 36386432
Lancet. 2012 Jun 9;379(9832):2162-72
pubmed: 22682464
NCHS Data Brief. 2022 Dec;(456):1-8
pubmed: 36598387
Reprod Health. 2018 Oct 3;15(1):166
pubmed: 30285768
Cochrane Database Syst Rev. 2013 Jun 19;(6):CD000452
pubmed: 23784865
N Engl J Med. 2015 May 7;372(19):1801-11
pubmed: 25946279
Soc Sci Med. 1998 Apr;46(8):1043-56
pubmed: 9579756
Pediatrics. 1994 Mar;93(3):532-6
pubmed: 8115226
Int J Equity Health. 2020 Mar 17;19(1):39
pubmed: 32183850
J Obstet Gynecol Neonatal Nurs. 2019 May;48(3):351-360
pubmed: 30946804
Children (Basel). 2022 Dec 21;10(1):
pubmed: 36670565
Omega (Westport). 2018 Aug;77(3):267-279
pubmed: 29940827
BMC Med Ethics. 2021 Dec 18;22(1):166
pubmed: 34922507
J Pain Symptom Manage. 2021 Sep;62(3):e20-e27
pubmed: 33631329
Sex Reprod Health Matters. 2019 Nov;27(3):1661753
pubmed: 31551027
Am J Hosp Palliat Care. 2018 Jan;35(1):75-82
pubmed: 27852818
Pan Afr Med J. 2016 Jul 20;24:258
pubmed: 27800111
Palliat Med Rep. 2021 Jul 27;2(1):212-217
pubmed: 34927144
Adv Neonatal Care. 2020 Apr;20(2):118-126
pubmed: 31569093
Curr Opin Pediatr. 2017 Apr;29(2):135-140
pubmed: 28092282
J Biosoc Sci. 2021 Apr 19;:1-13
pubmed: 33866977
J Perinatol. 2015 Dec;35 Suppl 1:S9-13
pubmed: 26597805
J Community Genet. 2013 Jan;4(1):87-97
pubmed: 23096497
Int J Gynaecol Obstet. 2011 Jun;113(3):205-7
pubmed: 21458808
J Palliat Med. 2009 Nov;12(11):1015-21
pubmed: 19922001
Lancet. 2011 Apr 23;377(9775):1386-8
pubmed: 21496914
Int J Palliat Nurs. 2014 Mar;20(3):130-4
pubmed: 24675539
BMC Pregnancy Childbirth. 2017 Nov 15;17(1):380
pubmed: 29141591
J Pediatr. 2023 Mar;254:33-38.e3
pubmed: 36244445
Death Stud. 2002 May;26(4):279-308
pubmed: 11980450
Ann Palliat Med. 2018 Apr;7(2):177-185
pubmed: 28595435
Linacre Q. 2017 May;84(2):130-144
pubmed: 28698706
N Engl J Med. 2005 Mar 24;352(12):1190-6
pubmed: 15788495
Adv Neonatal Care. 2016 Jun;16(3):191-200
pubmed: 27140033
Death Stud. 2019;43(5):333-342
pubmed: 29757105
Pediatrics. 2020 Jun;145(6):
pubmed: 32471844
J Perinatol. 2001 Jul-Aug;21(5):279-83
pubmed: 11536019
Am J Perinatol. 2015 Jul;32(8):713-24
pubmed: 25519196
Biol Res. 2011;44(2):201-7
pubmed: 22513424
J Med Ethics. 2016 Feb;42(2):116-8
pubmed: 26685150
BMC Pregnancy Childbirth. 2016 Jan 19;16:9
pubmed: 26785915
BMJ Open. 2013 Oct 22;3(10):e003323
pubmed: 24154514
PLoS One. 2018 Jan 25;13(1):e0191412
pubmed: 29370220
Health Serv Insights. 2021 Jun 17;14:11786329211025150
pubmed: 34211278
Reprod Health. 2021 Jan 6;18(1):5
pubmed: 33407643
Malawi Med J. 2014 Mar;26(1):8-11
pubmed: 24959318
Int J Environ Res Public Health. 2017 Dec 04;14(12):
pubmed: 29207521
BMC Pregnancy Childbirth. 2016 Jan 25;16:16
pubmed: 26810220
Pediatrics. 2020 Jun;145(6):
pubmed: 32439815
Health Care Women Int. 2014;35(7-9):918-36
pubmed: 24785835
BJOG. 2017 Sep;124(10):1595-1604
pubmed: 28294506
Arch Dis Child Fetal Neonatal Ed. 2017 Jan;102(1):F12-F16
pubmed: 27638112
Pediatrics. 2015 Sep;136(3):588-95
pubmed: 26324869
Front Reprod Health. 2021 May 19;3:638013
pubmed: 36303958
BMC Pregnancy Childbirth. 2022 Jun 15;22(1):491
pubmed: 35705910
S Afr Med J. 2016 Aug 09;106(9):940-4
pubmed: 27601123
Pediatr Clin North Am. 1993 Apr;40(2):221-39
pubmed: 8451079
Popul Health Metr. 2021 Feb 8;19(Suppl 1):15
pubmed: 33557858
BMC Med Ethics. 2020 Feb 11;21(1):16
pubmed: 32046695
Semin Fetal Neonatal Med. 2019 Aug;24(4):101008
pubmed: 31056417
BMJ Sex Reprod Health. 2022 Jan;48(e1):e75-e80
pubmed: 34272209
J Pediatr Nurs. 2021 Nov-Dec;61:51-58
pubmed: 33752063
J Transcult Nurs. 2016 May;27(3):210-7
pubmed: 26122618
BMC Pregnancy Childbirth. 2023 Apr 3;23(1):222
pubmed: 37013468
Cult Health Sex. 2020 Nov;22(11):1299-1313
pubmed: 31682778
J Perinatol. 2018 Jan;38(1):3-10
pubmed: 28817114
J Midwifery Womens Health. 2014 Jan;59 Suppl 1:S110-7
pubmed: 24588912
J Infect Dis. 2019 Aug 20;220(220 Suppl 2):S62-S73
pubmed: 31430386
Indian J Palliat Care. 2011 May;17(2):131-6
pubmed: 21976853
Reprod Health. 2022 Jun 13;19(Suppl 1):198
pubmed: 35698231
Adv Neonatal Care. 2019 Apr;19(2):E9-E14
pubmed: 30394915
Obstet Gynecol. 2007 May;109(5):1156-66
pubmed: 17470598
JCO Glob Oncol. 2021 Aug;7:1395-1405
pubmed: 34546790
PLoS One. 2023 Feb 15;18(2):e0281626
pubmed: 36791077
J Pediatr Nurs. 2016 Sep-Oct;31(5):478-89
pubmed: 27261370
J Perinatol. 2015 Dec;35 Suppl 1:S19-23
pubmed: 26597801
Arch Dis Child Fetal Neonatal Ed. 2017 Nov;102(6):F470-F471
pubmed: 28839106
Ann Palliat Med. 2018 Oct;7(4):449-454
pubmed: 30180739
Dev World Bioeth. 2021 Jun;21(2):68-73
pubmed: 33108696
BMC Pediatr. 2022 Feb 17;22(1):97
pubmed: 35177012
Ann Palliat Med. 2019 Feb;8(Suppl 1):S22-S29
pubmed: 30525773
Arch Pediatr Adolesc Med. 2008 Jun;162(6):532-7
pubmed: 18524743
Arch Dis Child Fetal Neonatal Ed. 2013 Jan;98(1):F21-5
pubmed: 22447989
Palliat Support Care. 2018 Oct;16(5):566-579
pubmed: 28829011
Midwifery. 2019 Dec;79:102531
pubmed: 31493675
Crit Care Med. 2016 Jan;44(1):188-201
pubmed: 26509317
Glob Health Action. 2017;10(1):1347369
pubmed: 28786327
Pediatrics. 2007 Feb;119(2):401-3
pubmed: 17272630
Soc Philos Policy. 2005 Summer;22(2):25-48
pubmed: 16363084
PLoS One. 2022 Feb 7;17(2):e0263072
pubmed: 35130269