<?xml version="1.0" encoding="UTF-8"?>
<itemContainer xmlns="http://omeka.org/schemas/omeka-xml/v5" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://omeka.org/schemas/omeka-xml/v5 http://omeka.org/schemas/omeka-xml/v5/omeka-xml-5-0.xsd" uri="https://pedpalascnetlibrary.omeka.net/items/browse?tags=Central+Nervous+System+Diseases&amp;output=omeka-xml" accessDate="2026-03-13T00:13:32-04:00">
  <miscellaneousContainer>
    <pagination>
      <pageNumber>1</pageNumber>
      <perPage>40</perPage>
      <totalResults>1</totalResults>
    </pagination>
  </miscellaneousContainer>
  <item itemId="17504" public="1" featured="1">
    <collection collectionId="71">
      <elementSetContainer>
        <elementSet elementSetId="1">
          <name>Dublin Core</name>
          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="131684">
                  <text>April 2021 List</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
    </collection>
    <itemType itemTypeId="1">
      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
      <elementContainer>
        <element elementId="53">
          <name>Citation List Month</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="131775">
              <text>April 2021 List</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="56">
          <name>URL Address</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="131783">
              <text>&lt;a href="http://doi.org/10.1093/pch/pxz089" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/​10.1093/pch/pxz089&lt;/a&gt;</text>
            </elementText>
          </elementTextContainer>
        </element>
      </elementContainer>
    </itemType>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131776">
                <text>Experiences from the first 10 years of a perinatal palliative care program: A retrospective chart review</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="131777">
                <text>Paediatrics &amp; Child Health</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131778">
                <text>2021</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131779">
                <text>Infant; Program Evaluation; Referral and Consultation; Terminal Care; Human; Descriptive Statistics; Perinatal Care; Prenatal Diagnosis; Retrospective Design; Record Review; Work Experiences; Gestational Age; Perinatal Death; Palliative Care -- In Infancy and Childhood; Treatment Outcomes; Neonatologists; Central Nervous System Diseases; Early Intervention; Infant  High Risk</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131780">
                <text> Doherty ME; Power L; Williams R; Stoppels N; Grandmaison Dumond L</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131781">
                <text>Background Perinatal palliative care is a relatively new component of paediatric palliative care which supports families who are expecting the birth of a child with a life-limiting condition. This study seeks to understand the characteristics of the infants and families referred for perinatal palliative care and the context for referrals in terms of diagnoses, referral characteristics, interventions, and outcomes. Methods A retrospective chart review of infants with prenatally diagnosed life-limiting conditions that were referred for perinatal palliative care. Results Eighty-five referrals were made for perinatal palliative care during the 10-year period, of which, 84 chose to continue with the service. Average gestational age at diagnosis was 23 weeks, and the mean time between diagnosis and referral to palliative care was 7 weeks. Stillbirths were common, occurring in 29% cases. Of livebirths, 59% of the infants survived for 2 days, and 80% died within 30 days. The most commonly referred conditions were trisomy 13 or 18 (24%), severe central nervous system malformations (20%), and severe congenital cardiac disease (16%). Referrals were most often made by neonatologists (39%), and maternal–fetal medicine specialists (36%). Discussion Our study confirms previously observed characteristics of diagnosis, referrals, and outcomes, while providing the most detailed account of lifespans for particular diagnoses to date. Our findings validate the need for perinatal palliative care, as 99% of those referred continued with the service. Future research should adopt a prospective approach to identify critical factors affecting decision making of families and physicians in the wake of a life-limiting diagnosis.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="43">
            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
            <elementTextContainer>
              <elementText elementTextId="131782">
                <text>&lt;a href="http://doi.org/10.1093/pch/pxz089" target="_blank" rel="noreferrer noopener"&gt;10.1093/pch/pxz089&lt;/a&gt;</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131784">
                <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="35436">
        <name>2021</name>
      </tag>
      <tag tagId="36356">
        <name>April 2021 List</name>
      </tag>
      <tag tagId="36393">
        <name>Central Nervous System Diseases</name>
      </tag>
      <tag tagId="6531">
        <name>Descriptive Statistics</name>
      </tag>
      <tag tagId="36396">
        <name>Doherty ME</name>
      </tag>
      <tag tagId="36394">
        <name>Early Intervention</name>
      </tag>
      <tag tagId="1006">
        <name>Gestational Age</name>
      </tag>
      <tag tagId="36398">
        <name>Grandmaison Dumond L</name>
      </tag>
      <tag tagId="2570">
        <name>Human</name>
      </tag>
      <tag tagId="609">
        <name>Infant</name>
      </tag>
      <tag tagId="36395">
        <name>Infant  High Risk</name>
      </tag>
      <tag tagId="829">
        <name>Neonatologists</name>
      </tag>
      <tag tagId="6068">
        <name>Paediatrics &amp; Child Health</name>
      </tag>
      <tag tagId="26746">
        <name>Palliative Care -- In Infancy and Childhood</name>
      </tag>
      <tag tagId="952">
        <name>Perinatal Care</name>
      </tag>
      <tag tagId="3396">
        <name>Perinatal Death</name>
      </tag>
      <tag tagId="36397">
        <name>Power L</name>
      </tag>
      <tag tagId="76">
        <name>Prenatal Diagnosis</name>
      </tag>
      <tag tagId="1228">
        <name>Program Evaluation</name>
      </tag>
      <tag tagId="26479">
        <name>Record Review</name>
      </tag>
      <tag tagId="933">
        <name>Referral And Consultation</name>
      </tag>
      <tag tagId="6540">
        <name>Retrospective Design</name>
      </tag>
      <tag tagId="28233">
        <name>Stoppels N</name>
      </tag>
      <tag tagId="434">
        <name>Terminal Care</name>
      </tag>
      <tag tagId="27403">
        <name>Treatment Outcomes</name>
      </tag>
      <tag tagId="28232">
        <name>Williams R</name>
      </tag>
      <tag tagId="29652">
        <name>Work Experiences</name>
      </tag>
    </tagContainer>
  </item>
</itemContainer>
