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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Care in subsequent pregnancies following stillbirth : an international survey of parents
Authors : Wojcieszek, A. M.
Boyle, F. M.
Belizán, J. M.
Cassidy, J.
Cassidy, P.
Erwich, J. J. H. M.
Farrales, L.
Gross, Mechthild Maria
Heazell, A. E. P.
Leisher, S. H.
Mills, T.
Murphy, M.
Pettersson, K.
Ravaldi, C.
Ruidiaz, J.
Siassakos, D.
Silver, R. M.
Storey, C.
Vannacci, A.
Middleton, P.
Ellwood, D.
Flenady, V.
DOI : 10.21256/zhaw-4995
Published in : BJOG - International Journal of Obstetrics and Gynaecology
Volume(Issue) : 125
Issue : 1
Pages : 193
Pages to: 201
Issue Date: 2016
Publisher / Ed. Institution : Wiley
ISSN: 1470-0328
Language : English
Subjects : Epidemiology; Management; Psychosocial; Recurrence; Stillbirth; Subsequent pregnancy; Psychology
Subject (DDC) : 618: Gynecology, obstetrics and midwifery
Abstract: Objective: To assess the frequency of additional care, and parents' perceptions of quality, respectful care, in pregnancies subsequent to stillbirth. Design: Multi‐language web‐based survey. Setting: International. Population: A total of 2716 parents, from 40 high‐ and middle‐income countries. Methods: Data were obtained from a broader survey of parents' experiences following stillbirth. Data were analysed using descriptive statistics and stratified by geographic region. Subgroup analyses explored variation in additional care by gestational age at index stillbirth. Main outcome measures: Frequency of additional care, and perceptions of quality, respectful care. Results: The majority (66%) of parents conceived their subsequent pregnancy within 1 year of stillbirth. Additional antenatal care visits and ultrasound scans were provided for 67% and 70% of all parents, respectively, although there was wide variation across geographic regions. Care addressing psychosocial needs was less frequently provided, such as additional visits to a bereavement counsellor (10%) and access to named care provider's phone number (27%). Compared with parents whose stillbirth occurred at ≤ 29 weeks of gestation, parents whose stillbirth occurred at ≥ 30 weeks of gestation were more likely to receive various forms of additional care, particularly the option for early delivery after 37 weeks. Around half (47-63%) of all parents felt that elements of quality, respectful care were consistently applied, such as spending enough time with parents and involving parents in decision‐making. Conclusions: Greater attention is required to providing thoughtful, empathic and collaborative care in all pregnancies following stillbirth. Specific education and training for health professionals is needed.
Fulltext version : Published version
License (according to publishing contract) : Licence according to publishing contract
Departement: Health Professions
Organisational Unit: Institute of Midwifery (IHB)
Appears in Collections:Publikationen Gesundheit

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