Recent discussions
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Виктория Антонова
Limited evidence in neonates but plenty of studies in older children and adults - policy should include importance of an assigned role of family liaison. There are data to support a structured debrief for the medical team whether successful resuscitation or not. -
Виктория Антонова
Thank you. This was a neonatal subset of a wider paediatric review. This article was not included in the paediatric review because it focused on adult resuscitation but does indeed include interesting perspectives. -
Виктория Антонова
Despite the still weak evidence, I believe that the presence of parents will provide better understanding of the situation, leaving them close to reality. In this way, see what is being done by the baby especially in the most difficult outcome situations. I believe that communication will be a very important factor for maintaining this practice, as parents are close and aware of the procedures. -
Виктория Антонова
I am a LDRP nurse and I am almost finished with my certified nurse midwife program. But most importantly I am a mother to two children who received NRP. I could not get up and be nearby while they received resuscitation because I was still in the middle of a cesarean section but my husband was not allowed to go back with them even though I requested he be able to. I Believe that parents should have the right to determine whether or not they want to witness and be involved in the resuscitation. Like every other situation they should be able to make the decision about what they feel is best for their family in that moment in time. One of my children has complex congenital heart defects that has required many hospitalizations including open heart surgery and ecmo. Thankfully we have not been put in a position where she has required any type of resuscitation outside of the OR but if we had been presented with that situation I would want to stay by her side and witness the resuscitation. That is important to me. Not all parents would feel the same But I feel that I have a right to make the decision For myself and my family -
Виктория Антонова
I very much agree on the importance of the presence of parents during neonatal resuscitation. It is a very complicated moment for professionals and painful for the family, but it is necessary to be together in the procedures and decisions for the best outcome. -
Виктория Антонова
I think this should be a variable option related to local standards and cultures of each health care setting in different countries. I believe some parents would not be able to tolerate stressful resuscitation experience to their sick newborn who needed a lot of interventions even the outcome came good. However, others will tolerate and even be grateful to the resuscitation team for their efforts. I think it should be individualized. -
Виктория Антонова
I think family needs to be defined, as sometimes husband not available, grandparents sometimes available only. Mother can’t see baby , lot of people around resuscitoir, also c sec vs delivery suite makes lot of difference for such arguments. Presence in room vs actual viewing of resuscitation?? Needs lot of clarification plus effect on team etc -
Виктория Антонова
We received the following text: "this is a very interesting and important topic. although there is no solid evidence I think that family-centered outcomes about perception of the resuscitation and about health care provider-centered outcomes about perception of the resuscitation and psychological stress could be relevant" -
Виктория Антонова
It was a very good initiative to study about the presence of parents in resuscitation. It seems that we medical professionals, especially neonatologists, have some difficulties in recognizing that parents have a fundamental role in the care of that patient who is ours for a few moments. Before the pandemic we always had companions in delivery rooms, now they are very low. In Brazil, where I live, we still have many difficulties in which parents, due to their low knowledge of what is happening with the child, may misinterpret some procedures, being essential the presence of someone from the team to clarify them. -
Виктория Антонова
It was a very good initiative to study about the presence of parents in resuscitation. It seems that we medical professionals, especially neonatologists, have some difficulties in recognizing that parents have a fundamental role in the care of that patient who is ours for a few moments. Before the pandemic we always had companions in delivery rooms, now they are very low. In Brazil, where I live, we still have many difficulties in which parents, due to their low knowledge of what is happening with the child, may misinterpret some procedures, being essential the presence of someone from the team to clarify them.