Application of the PALIA-Obstetric code as a palliative care protocol in a pediatric brain tumor with poor prognosis: a case report

Diffuse intrinsic pontine glioma (DIPG) is a highly aggressive pediatric brain tumor with a poor prognosis, particularly in neonates, where its rapid progression raises significant clinical and ethical concerns.Pediatric palliative care provides a framework for addressing these challenges by prioritizing comfort, family support, and shared decision-making.This article proposes a structured model for early neonatal oncology care, aiming to enhance symptom control, minimize futile interventions, and promote home-based care within a multidisciplinary and humanistic perspective.To establish a rapid and effective care pathway for oncology patients requiring palliative care that ensures, facilitates, and promotes early identification, comprehensive optimization, and multidisciplinary communication.We present a case of a newborn diagnosed with DIPG in whom a multidisciplinary approach strategy was activated.This promoted on-demand interaction, strengthened emotional bonds, and prioritized comfort and family-centered accompaniment.The code highlights a vulnerable situation where clinical decisions align with the palliative care model, which is reproducible and applicable, providing comprehensive ethical support that prioritizes quality of life.