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.
Published in : BJOG: An International Journal of Obstetrics & Gynaecology
Volume(Issue) : 125
Issue : 1
Pages : 193
Pages to: 201
Publisher / Ed. Institution : Wiley
Issue Date: 2016
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
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.
Departement: Gesundheit
Organisational Unit: Institute of Midwifery (IHB)
Publication type: Article in scientific Journal
DOI : 10.1111/1471-0528.14424
ISSN: 1470-0328
URI: https://digitalcollection.zhaw.ch/handle/11475/8160
Appears in Collections:Publikationen Gesundheit

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