Recent discussions
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Виктория Антонова
I agree that parents should be presente during neonatal reanimating. Its’s a very difficult topic, but I believe being present and testifying all efforts to save the baby can help to understand the severity of the situation and may help the mourning process. -
Виктория Антонова
Wise perspective. -
Виктория Антонова
Thank you for your balancing input and views. The review was based on the evidence available and takes into account that in many areas of the world (such as my own) it has been standard practice for parents to be present. Similarly there are areas of the world where either for cultural reasons or your own perceptions this is not the case. We were therefore trying to find out exactly what the evidence was. As it transpires, despite very polarised views, there is little hard evidence to support any particular approach. This means we require more evidence for future reviews. We hope that this point was clearly made? Thank you again to everyone taking time to comment. -
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
Thank you everyone who has commented so far. These are all helpful comments and perspectives to assist in the final wording of the CoSTR -
Виктория Антонова
See ‘Health Care Providers’ Attitudes Regarding Family Presence During Resuscitation of Adults An Integrated Review of the Literature’ MARY SUSAN L. HOWLETT, BSN, RN, CEN; GAIL A. ALEXANDER, BSN, RN, CCRN; BRENDA TSUCHIYA, MSN, RN, NP-C -
Виктория Антонова
I beleive that the presence of parents in the delivery room can help with the understanding of the severity of the illness as well as with the efforts undertaken in the care of the patient. But at times family agression or desperation can be a difficult situation for the care providers to deal with. Ideally there should be training among staff to help deal with the situation, as well as a person on the team that can help with explanations for the family.