Critical Thinking Case Studies. Do Not Resuscitate! A Case Report.

PALLIATIVE treatment; DO-not-resuscitate orders; PATIENT-family relations; NEONATAL intensive care units; RESUSCITATION; DECISION making; NEONATAL intensive care; PRENATAL care; MULTIPLE human abnormalities; NEONATAL sepsis; DISEASE complications

This case study describes the antenatal care, birth, and subsequent management of a baby boy born via elective lower segment Caesarean section. The pregnancy, initially uneventful, revealed multiple congenital anomalies during the second trimester. Despite extensive efforts, including respiratory support and antibiotic treatment for late-onset sepsis, the neonate's condition deteriorated rapidly, leading to a cardiac arrest on day 25 of life. Palliative care was provided, consistent with the parents' wishes for a do-notresuscitate (DNR) approach due to the severity of the congenital anomalies. This case underscores the complexities of managing neonates with profound congenital anomalies, and the importance of respectful and supportive care for families facing such challenges. [ABSTRACT FROM AUTHOR]

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