Archives Neonatology - Dr Annie Janvier

The Physician-Parent Relationship in Pediatrics: The Foundation of Care

The Physician-Parent Relationship in Pediatrics: The Foundation of Care Why the physician-parent relationship is central to pediatric care. Trust, communication, and shared decision-making improve outcomes for children. A Unique Clinical Relationship Pediatrics is different from most areas of medicine. The child is the patient. This triangular dynamic makes the physician-parent relationship in pediatrics both complex […]

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Neurodevelopmental Impairment: Who Defines It?

Neurodevelopmental Impairment : Who Defines It? Neurodevelopmental impairment (NDI) is a key neonatal outcome measure- often the primary outcome. It is frequently included in composite outcomes such as “death or NDI,” which raises significant ethical and scientific concerns. Why Use NDI as a Primary Outcome is Problematic NDI itself is a composite measure, encompassing: This

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Giving a Voice to Parents in Neonatology: Why Their Perspective is Essential

Giving a Voice to Parents in Neonatology: Why Their Perspective is Essential When a baby is born prematurely, their parents’ world is turned upside down. They find themselves in a highly specialized medical environment where every heartbeat and breath is closely monitored. But a fundamental question arises: how can we truly assess the well-being and

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Always a burden? Healthcare providers’ perspectives on moral distress

To explore clinical experiences, perspectives and perceptions of moral distress in neonatology.

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Communication with parents concerning withholding or withdrawing of life-sustaining interventions in neonatology

The nature and content of the conversations between the healthcare team and the parents concerning withholding or withdrawing of life-sustaining interventions for neonates vary greatly. These depend upon the status of the infant; for some neonates, death may be imminent, while other infants may be relatively stable, yet with a potential risk for surviving with severe disability.

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