• Rocha Catania Taisa T 1 Department of Obstetrics and Gynecology, Clinics Hospital, University of São Paulo , São Paulo, Brazil ., Lisandra Bernardes, Guerra Benute Glaucia Rosana GR 2 Division of Psychology, Clinics Hospital, University of São Paulo , São Paulo, Brazil ., Bento Cicaroni Gibeli Maria Augusta MA 3 Neonatal Unit, Department of Pediatrics, Clinics Hospital, University of São Paulo , São Paulo, Brazil ., Bertolassi do Nascimento Nathalia N 4 Nurse Division, Clinics Hospital, University of São Paulo , São Paulo, Brazil ., Aparecida Barbosa Tercilia Virginia TV 5 Social Assistance Division, Clinics Hospital, University of São Paulo , São Paulo, Brazil ., Jornada Krebs Vera Lucia VL 3 Neonatal Unit, Department of Pediatrics, Clinics Hospital, University of São Paulo , São Paulo, Brazil ., and Francisco Rossana P V RPV 1 Department of Obstetrics and Gynecology, Clinics Hospital, University of São Paulo , São Paulo, Brazil ..
• 1 Department of Obstetrics and Gynecology, Clinics Hospital, University of São Paulo , São Paulo, Brazil .
• J Palliat Med. 2017 Sep 1; 20 (9): 1020-1031.

BackgroundFetal malformations occur in 2% of gestations and are the fifth most common cause of neonatal death in the world. In many cases, fetal malformations result in neonatal death or long stay in intensive care facilities. Families that continue the pregnancy in such a situation need to make choices and cope with an overwhelming number of potential issues. Palliative care starting at the prenatal period is a growing field that allows the entire family to prepare for this difficult situation.ObjectiveTo perform a systematic review of published data on palliative care in the prenatal period.DesignPubMed and the Cochrane Library were searched using the keywords ("perinatal" OR "prenatal" OR "fetal") AND "palliative care" and also ("perinatal" OR "prenatal" OR "fetal") AND "hospice."Setting/SubjectsStudies focusing on the long-term impact of prenatal palliative care published up to December 2015 were used.MeasurementsQuantitative and qualitative studies.ResultsIn total, 541 studies were retrieved; 29 articles met the inclusion criteria. Studies were organized into different categories according to the design or main focus. The majority of studies retrieved were reflexives or presented a narrative proposal on palliative care started in the prenatal period (45%). Clinical studies comprised 17% of all articles found. No studies were found on the long-term impact of prenatal palliative care.ConclusionsPrenatal palliative care is a growing field and an important supportive care measure that can help grieving parents and families who do not want to or cannot interrupt their pregnancy. More studies should be carried out, specifically concerning long-term impact of prenatal palliative care. Guidelines and training of health professionals must be developed so that more families can benefit from this type of care.

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