When the prenatal diagnosis of a lethal fetal anomaly has been
established, some patients choose to continue their pregnancy.
Currently, there is a paucity of medical literature addressing the
specific management of families in this unique circumstance. We propose a
model of care that incorporates the strengths of prenatal diagnosis,
perinatal grief management, and hospice care to address the needs of
these families. We discuss the identification of candidates for this
form of care; the multidisciplinary team approach; and the aspects of
antepartum, intrapartum, and postpartum care. Finally, we discuss some
barriers that might need to be overcome when attempting to implement
perinatal hospice care.
Nathan J. Hoeldtke, Byron C. Calhoun, Perinatal Hospice, Am J Obstet Gynecol 2001;185:525-9