Rosa Geurtzen Prenatal counselling in extreme prematurity
In this thesis, prenatal counselling in threatening delivery at the limits of viability according to parents and doctors is described.read more
Rosa Geurtzen Prenatal counselling in extreme prematurityNewborn babies born prematurely at 24 weeks of gestation are very vulnerable because of their immaturity. Despite intensive care, mortality rates are significant and survivors may have adverse long-term outcomes. The current Dutch guideline explicitly states that parental consent is a prerequisite regarding the decision whether or not to initiate active care of the infant at 24 weeks’ gestation. Therefore, adequate counselling is of great importance. In this thesis, prenatal counselling in threatening delivery at the limits of viability according to parents and doctors is described. Differences between Dutch and American doctors were shown. But also within the Netherlands doctors differed in their preferences regarding content, organization and decision-making in prenatal counselling. The decision between palliative comfort care and active care should be taken according to shared decision-making but knowledge seemed to be incomplete. Finally, a nationwide developed and supported (by parents and doctors) framework with recommendations for prenatal counselling was published.
Date, time and location PhD defense
- Date: 27 November 2019
- Time: 14.30 hrs
- Location: Radboud Universiteit, Academiezaal Aula, Comeniuslaan 2
Rosa Geurtzen (1985) studied Medicine at Radboudumc and obtained her medical degree in 2010. The research in this thesis was performed at the Amalia Childrens Hospital during her pediatric residency. She initiated a nationwide collaboration between neonatologists, obstetricians and parents, and her thesis led to nationwide recommendations. Recently, Rosa started the subspecialty training to become a pediatrician – neonatologist at the Radboudumc.
- Promotor: prof. C. Noordam
- Co-promotors: J.M.T. Draaisma PhD, A.F.J. van Heijst PhD and M. Hogeveen PhD