What option should be considered in the discussion with parents of a newborn at high risk of mortality?

In discussions with parents of a newborn at high risk of mortality, providing palliative care is an essential consideration. Palliative care focuses on improving the quality of life for both the newborn and the family by addressing physical, emotional, and spiritual needs. It emphasizes comfort and support rather than aggressive treatments that may not change the overall prognosis, especially in cases deemed high risk.

When a newborn is identified as being at high risk for mortality, the emotional and psychological well-being of the family is of utmost importance. Palliative care allows for an honest discussion about the infant's condition, potential outcomes, and the wishes of the family regarding treatment options. It respects the family's values and decisions while ensuring that the newborn is as comfortable as possible, which may include pain management and symptom relief.

Choosing palliative care does not mean relinquishing hope; rather, it means prioritizing the quality of life and ensuring that families are supported during what can be an extraordinarily difficult time. This approach encourages open communication and helps parents make informed decisions based on their circumstances, values, and understanding of their child's condition.

Other options, such as aggressive resuscitation or immediate surgical interventions, while they may be appropriate in certain contexts, may not align with the best interests of the newborn or