Congenital Malformations
Conditions
Keywords
Congenital Lethal Malformations
Brief summary
To prove that palliative therapy can be practised for congenital lethal malformations within the Islamic Code of Ethics. After defining lethal malformation no respiratory support is offered and newborns are provided with compassionate care.
Detailed description
This is a prospective observational study where all abnormal antenatal ultrasounds are discussed in a weekly prenatal meeting and plans are drawn for management of these abnormal fetal findings. Lethal malformations are defined as conditions which will end in death regardless of supportive care. Cases are discussed extensively and parents are involved in management decisions. When a decision of non- intervention is reached for a lethal malformation consent of the family is obtained and a plan of non monitoring for the mother is documented together with no resuscitation for the newborn. Families who do not consent to such plan are offered full support for the pregnant mother and her newborn. A record of all cases is kept available together with the management plan so that the appropriate action is taken when the the pregnant lady presents for admission. All babies with lethal malformations are recorded whether stillborn or live born and their diagnosis is confirmed. Survival time is recorded for each case.
Interventions
OTHERPalliative management
Diagnostic studies for abnormal fetal ultrasounds
Sponsors
Security Forces Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Hours to 1 Hours
Healthy volunteers
No
Inclusion criteria
All babies with abnormal fetal ultrasounds -
Exclusion criteria
Normal babies who die in the neonatal period because of other causes not associated with lethal malformations \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effective Palliative therapy in lethal malformations | Time of death in days for a baby with lethal malformation | Provide palliative care only to those babies born with lethal congenital malformations in the form of oxygen and feeding |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Survival of babies with lethal malformations | Time of survival in hours or days | Record of the time of survival for each group of lethal malformations |
Countries
Saudi Arabia
Outcome results
None listed