Palliative Care Planning

“Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification, impeccable assessment, and treatment of pain and other problems, physical, psychosocial and spiritual”. – World Health Organization (2009)

Palliative Care Planning with the Advanced Care Planning team at Mt.Sinai Hospital:

The Advanced Care Planning Team’ goal is to provide additional support to families who are going through the process of decision-making for neonatal comfort/palliative care. The team is composed of a Women’s and Infant’s Health Program Clinical Nurse Specialist and a Neonatologist.

This team will focus on:

  • Patients and families who have received a diagnosis of a lethal fetal abnormality or a life-limiting diagnosis, and have chosen to continue their pregnancy to term.
  • Patients and families who are considering palliation for their baby at term, but are unsure and would benefit from further discussion.

What happens during a palliative care consult?

  • A meeting with the family to discuss goals and needs for pregnancy and delivery care in partnership with the primary care provider.
  • Work with the family to create a delivery careplan which would include medical care for mother and a comfort care plan for the baby.
  • Provide guidance in understanding the options and choices as the pregnancy continues (photos during pregnancy, ultrasounds) and help the family to create and make memories and keepsakes with their baby (photos at birth, skin-to-skin with baby, hand/foot prints, clothing).
  • Help the family to prepare for baby with ongoing support throughout the pregnancy, which can include social work or perinatal mental health group.
  • Support and coordinate resources for families delivering in their community.

For a consultation with the Advanced Care Planning team please contact Lindsay Pollard, Clinical Nurse Specialist. 416-586-4800 x7379

Special Pregnancy Program

Referrals »

Fetal Medicine: 416-586-4800 x 7756
Fax: 416-586-3216

Maternal Medicine: 416-586-4800 x 7000
Fax: 416-586-5109

Main clinic hours: Monday to Friday, 8am to 4pm

Prenatal Diagnosis & Medical Genetics

Referrals »

phone: 416-586-4800 x 4523
fax numbers:
416-586-4723 or 416-586-8384

Perinatal Mental Health

Referrals »

Phone: 416-586-4800 x 8325
Fax: 416-586-8596