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Saying Hello and Goodbye 

Saying Hello and Goodbye
Chapter:
Saying Hello and Goodbye
Author(s):

Lindsay B. Ragsdale

DOI:
10.1093/med/9780190051853.003.0027
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date: 15 April 2021

Perinatal birth planning can help parents who are facing a difficult fetal diagnosis understand the prognosis, identify central goals, and focus on their infant. Planning during pregnancy can help align the care that the mother and the infant receive with their goals of care. Plans can include delivery options, resuscitative efforts, code status, goals of care, symptom management, family involvement, memory-making, and grief support. Resuscitative efforts for the neonate can be clarified before birth and the birth plan can give direction to the resuscitation team about boundaries of interventions. Perinatal palliative care can help families clarify their goals and ensure collaborative communication with providers from obstetrics and neonatology/newborn care.

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