Skip to main content

Community-Based Perinatal Palliative Care

  • Chapter
  • First Online:
  • 489 Accesses

Abstract

If community-based pediatric palliative care is in its infancy, then community-based perinatal palliative care is still in the womb. Over the past 10–15 years, there has been an explosion of home-based pediatric palliative care programs, some as an adjunct to hospital-based programs, some as a component of larger adult hospice and palliative care programs, and some as free-standing pediatric programs. Similarly, perinatal palliative care (PPC) has more recently experienced rapid growth (as this book attests to), and hospital-based programs in perinatal palliative care have now become an integral part of many pediatric palliative care programs. Although community-based perinatal programs exist, little is written on “who” they are and what exactly they do. In this chapter, we will define just what community-based PPC is, how it is distinct from hospital-based PPC, and what it can bring to families with fetuses in peril. We will illustrate this highlighting data and real-life stories based on our own experience through CompassionNet, an Upstate New York community-based PPC program.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Kaye EC, Rubenstein J, Levine D, Baker JN, Dabbs D, Friebert SE. Pediatric palliative care in the community. CA Cancer J Clin. 2015;65(4):316–33. https://doi.org/10.3322/caac.21280. Epub 2015 May 7

    Article  PubMed  Google Scholar 

  2. Wool C, Côté-Arsenault D, Perry Black B, Denney-Koelsch E, Kim S, Kavanaugh K. Provision of services in perinatal palliative care: a multicenter survey in the United States. J Palliat Med. 2016;19(3):279–85. https://doi.org/10.1089/jpm.2015.0266. Epub 2015 Dec 14

    Article  PubMed  Google Scholar 

  3. Fanos JH, Little GA, Edwards WH. Candles in the snow: ritual and memory for siblings of infants who died in the intensive care nursery. J Pediatr. 2009;154(6):849–53. https://doi.org/10.1016/j.jpeds.2008.11.053. Epub 2009 Apr 1.

    Article  PubMed  Google Scholar 

  4. Gaab EM, Owens GR, MacLeod RD. Siblings caring for and about pediatric palliative care patients. J Palliat Med. 2014;17(1):62–7. https://doi.org/10.1089/jpm.2013.0117. Epub 2013 Dec 6

    Article  PubMed  Google Scholar 

  5. Lovgren M, Sveen J, Nyberg T, Wallin AE, Prigerson HG, Steineck G, Kreicbergs U. Care at the end of life influences grief: a nationwide long-term follow-up among young adults who lost a brother or sister to childhood cancer. J Palliat Med. 2018;21(2):156–62. https://doi.org/10.1089/jpm.2017.0029. Epub 2017 Sep 26

    Article  PubMed  PubMed Central  Google Scholar 

  6. Spinetta JJ, Jankovic M, Eden T, Green D, Martins AG, Wandzura C, et al. Guidelines of assistance to siblings of children with cancer: report of the SIOP working committee on psychosocial issues in pediatric oncology. Med Pediatr Oncol. 1999;33(4):395–8.

    Article  CAS  PubMed  Google Scholar 

  7. Denney-Koelsch E, Black B, Côté-Arsenault D, Wool C, Kim S, Kavanaugh KA. Survey of perinatal palliative care programs in the US: structure, process, and outcomes. J Palliat Med. 2016;19(10):1080–6. Epub 2016 Aug 25

    Article  PubMed  Google Scholar 

  8. Resolve Through Sharing. www.rts@gundersonhealth.org. Accessed 28 Mar 19.

    Google Scholar 

  9. Gupton AW. Addressing the unique and profound psychosocial impact of perinatal loss: implications for expansion of social work leadership in multidisciplinary learning and care [unpublished manuscript]. NYU Silver School of Social Work, Zelda Foster Leadership Fellowship in Palliative and End-of-Life Care; January 20, 2017.

    Google Scholar 

  10. Côté-Arsenault D, Denney-Koelsch E. “Love is a choice:” couple responses to continuing pregnancy with a lethal fetal diagnosis. Illness Crisis Loss. 2017;26(4):293–315.

    Google Scholar 

  11. Côté-Arsenault D, Denney-Koelsch E. “My baby is a person:” family experiences with life-threatening fetal diagnosis. J Palliat Med. 2011;14(12):1302–8. https://doi.org/10.1089/jpm.2011.0165. Epub 2011 Nov 11

    Article  PubMed  Google Scholar 

  12. Capitulo KL. Evidence for healing interventions with perinatal bereavement. MCN Am J Matern Child Nurs. 2005;30(6):389–96.

    Article  PubMed  Google Scholar 

  13. Côté-Arsenault D, Krowchuk H, Denney-Koelsch E, Jenkins Hall W. “We want what’s best for our baby”: prenatal parenting of babies with lethal conditions. J Prenat Perinat Psychol Health. 2015;29(3):157–76.

    PubMed  PubMed Central  Google Scholar 

  14. Côté-Arsenault D, Denney-Koelsch E. “Have no regrets:” parents’ experiences and developmental tasks in pregnancy with a lethal fetal diagnosis. Soc Sci Med. 2016;154:100–9. https://doi.org/10.1016/j.socscimed.2016.02.033. Epub 2016 Feb 26

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alyssa W. Gupton .

Editor information

Editors and Affiliations

Appendices

Appendix 14.1 CompassionNet Perinatal Referral Form

figure a

Appendix 14.2 CompassionNet Birth Plan

figure bfigure bfigure bfigure bfigure b

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gupton, A.W., Zwetsch, L.M., Korones, D.N. (2020). Community-Based Perinatal Palliative Care. In: Denney-Koelsch, E., Côté-Arsenault, D. (eds) Perinatal Palliative Care. Springer, Cham. https://doi.org/10.1007/978-3-030-34751-2_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-34751-2_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-34750-5

  • Online ISBN: 978-3-030-34751-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics