A “Cold Case” Of Neonatal Death In Italy: A Fulfilling Prophecy or A Lesson Not Learnt?

S. Morano, J. Calleja-Agius
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Abstract

In Italy, there was a recent great uproar in the aftermath of the tragedy of a 3 day-old newborn, who died in Pertini Hospital in Rome while rooming in and sleeping right next to the mother, and was reported by the media as having suffocated. There is surmounting evidence in the literature highlighting how the human major life events of birth in health systems have regressed to “dehumanizing” childbirth practices [6,7]. This is aggravated by the budget cuts and dire shortage of healthcare workers, that has negatively impacted the effectiveness of healthcare services. The decline in healthcare systems is mainly reflected by the lack of adequate perinatal care due to the widespread elimination of most of the psychosocial and ethical achievements in perinatal care that had been developed and attained in the last decades. This very critical issue does matter as well to caregivers, and in particular researchers and clinicians. Hundreds of research works, papers and reports, as well as many European projects, could risk to appear quite useless if they do not result in voices heard by the whole society, starting from the scientific community, patient advocacy groups, policy makers, managers, and so on. As women, clinicians and mothers, we understand now more than ever the real lesson of the pandemic: a mandatory change in childbirth culture, spaces and practices.
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意大利新生儿死亡“悬案”:一个应验的预言还是一个未吸取的教训?
在意大利,最近发生了一起悲剧,一名3天大的新生儿在罗马比提尼医院(Pertini Hospital)与母亲同住并睡在母亲旁边时死亡,媒体报道称他是窒息而死。文献中有大量证据表明,卫生系统中的人类重大生命事件如何倒退到“非人性化”分娩实践[6,7]。预算削减和保健工作者严重短缺加剧了这种情况,这对保健服务的有效性产生了负面影响。医疗保健系统的衰落主要反映在缺乏适当的围产期护理,这是由于在过去几十年中发展和实现的围产期护理中广泛消除了大多数社会心理和伦理成就。这个非常关键的问题对护理人员,特别是研究人员和临床医生也很重要。数以百计的研究成果、论文和报告,以及许多欧洲项目,如果不能让整个社会——从科学界、患者权益团体、政策制定者、管理者等——听到它们的声音,就可能显得毫无用处。作为妇女、临床医生和母亲,我们现在比以往任何时候都更加了解大流行的真正教训:分娩文化、空间和做法必须改变。
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