Dutch neonatologists have adopted a more interventionist approach to neonatal care

Jan F. Koper*, Arend F. Bos, Annie Janvier, A. A. Eduard Verhagen

*Bijbehorende auteur voor dit werk

    OnderzoeksoutputAcademicpeer review

    10 Citaten (Scopus)

    Samenvatting

    AimThis study investigated whether continuous improvements to neonatal care and the legalisation of newborn euthanasia in 2005 had changed end-of-life decisions by Dutch neonatologists.

    MethodsWe carried out a retrospective study of foetuses and neonates of more than 22weeks' gestation that died in the delivery room or in the neonatal intensive care unit (NICU) of a tertiary referral hospital in the Netherlands, comparing end-of-life decisions and mortality in 2001-2003 and 2008-2010, before and after euthanasia legislation was introduced.

    ResultsIn 2008-2010, there were more deaths in the delivery room due to termination of pregnancy than in 2001-2003 (17% versus 29%, p=0.031), and fewer infants received comfort medication (12% versus 20%, p=0.078). The main mode of death in the NICU was the withdrawal of life-sustaining therapy. The number of days that infants lived increased significantly between 2001-2003 (11.5days) and 2008-2010 (18.4days, p

    ConclusionTerminations increased after changes in healthcare regulations. Modes of death in the NICU remained similar over 10years. The increased duration of NICU treatment before dying suggests a more interventionist approach to treatment in 2008-2010.

    Originele taal-2English
    Pagina's (van-tot)888-893
    Aantal pagina's6
    TijdschriftActa Paediatrica
    Volume104
    Nummer van het tijdschrift9
    DOI's
    StatusPublished - sep-2015

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