Recent discussions
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Виктория Антонова
I believe that parents should be present in the delivery room, despite being a difficult situation for both the family and the doctor. However, the focus of attention is on the patient and his family. I think it should be part of medical training to know how to act in stressful situations, without disrupting our performance. Furthermore, I believe It's important that the family sees that all the efforts were made to save the child. -
Виктория Антонова
Thank you. I don't disagree at all with the comments made here but we had to look at what the evidence supported. It was surprising how little data was available. -
Виктория Антонова
For 20 years, we have had a policy of resuscitation in the delivery room without removing the parents. The newborn is seen in the same delivery room, and the presence of the companion is always encouraged. Personally I think it is much easier for the doctor to explain to the family what happened when they saw the care. And the family seems to be more comfortable when they are allowed to stay in the room than if the service is "hidden" from them. I have been in the delivery room for many years and I only see benefits in the family staying in the resuscitation room. -
Виктория Антонова
I think we'd have to ask parents/partners in advance if they want to be there. Which won't always be possible. But, humans have individual reactions that are often related to their personal difficulties, beliefs and cultural patterns Even if studies with large populations were conducted, there would be many variables to be considered which might be a limiter to indicate the results to all. -
Виктория Антонова
It's very important to think about this topic. It is a difficult decision for the health professional to allow the family at the time of neonatal resuscitation. If the father or mother wishes to be present at this difficult time, the team must be prepared for this situation and must train even more communication and host techniques Thank you -
Виктория Антонова
In my country it is not likely to have parents inside resuscitation room, even before Covid 19. I suppose that parents’ presence could help to deal with suffering and sadness in case of newborn’s death. It should improve confidence in the hospital team’s work after resuscitation and baby goes to intensive care unit. In Brazil, I think we need training and many efforts to bring this practice as a reality in most of hospitals. -
Виктория Антонова
I agree that parents participate in neonatal resuscitation as a way to monitor and find out if everything is correct in their children's neonatal care, even without robust evidence in the literature. -
Виктория Антонова
Agree. Good job indeed. -
Виктория Антонова
Important to add. I agree with the balance struck given the low quality of evidence; however, embracing this is important in order to start thinking about advancements in this area of research. -
Виктория Антонова
As a health professional, Its a difficult situation, but where a newborn was 'not expected' to have problems and to see the team working to support the newborn through that event good or bad perhaps allows for the 'grieving' process to begin. Where's an 'expected' event Medical Emergency and newborn is taken away for support can be a difficult process for families - mother etc... We are always learning and hence why training -SIMS etc.. put us in a situation where mother, family is present. Thanks