Protocolo assistencial: interrupção da gestação em fetos com malformações incompatíveis com a vida

Abstract

Introduction: The advent of fetal medicine has enabled the prenatal diagnosis of various congenital anomalies, which represent the second leading cause of neonatal mortality in Brazil. Early identification of these anomalies enhances prenatal care, allows for informed planning regarding pregnancy and delivery, and provides the option to consider pregnancy termination in cases of invariably lethal fetal conditions. Such decisions may prevent maternal-fetal harm when the continuation of pregnancy offers no therapeutic benefit. Objective: To develop a care protocol for managing cases eligible for pregnancy termination due to invariably lethal fetal malformations identified in the prenatal period. Materials and Methods: This study involved a comprehensive review of medical literature, legal frameworks, and ethical resolutions concerning pregnancy termination in cases of invariably lethal fetal malformations. Conclusion: The development of a care protocol is crucial, as the obligation to continue a pregnancy under such circumstances imposes significant psychological distress on the pregnant individual and subjects them to unnecessary risks. The proposed protocol emphasizes the importance of structured care pathways, timely psychological and medical support, reduction of bureaucratic delays, and standardized procedures for decision-making, prescriptions, and follow-up. This approach aims to ensure dignified and compassionate care, representing a significant advancement in patient well-being