Do women's perceptions of care at the time of unexplained stillbirth influence their wishes for management in subsequent pregnancy? An Internet‐based empirical study
Abstract
Aim: The aim of this study was to examine women's perceptions of their care at the time of unexplained stillbirth, and whether these appear to affect wishes for management in subsequent pregnancy. Methods: An Internet‐based survey was conducted of women after unexplained stillbirth, seeking information about their perceptions of management, and their wishes for care in a subsequent pregnancy. Results: One hundred and five completed surveys were included in the study group. Only 18 respondents (17%) reported that the diagnosis was broken in an uncaring way. Twenty respondents (19%) felt ‘rushed into making decisions’. Almost all respondents (95%) felt that they were given adequate time with the baby after delivery. Fifty‐seven respondents (54%) consented to perinatal autopsy. Most women (93%) wanted additional testing in their next pregnancy, 81% wanted delivery before the due date, but only 26% wanted cesarean delivery next time. Conclusion: Women's perceptions of care at the time of an unexplained stillbirth did not appear to influence their wishes for management in the next pregnancy.
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Current care for bereaved parents after a baby dies is inconsistent.
“Current care for bereaved parents after a baby dies is inconsistent [11, 12]”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [11]
Parents reported dissatisfaction with the way the diagnosis was conveyed to them, not feeling involved with decision making, and not being given adequate time to come to terms with their loss and make decisions.
“Parents reporting dissatisfaction with the way the diagnosis was conveyed to them, not feeling involved with decision making, and not being given adequate time to come to terms with their loss and make decisions [11, 77, 78].”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [11]
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“Parents reporting dissatisfaction with the way the diagnosis was conveyed to them, not feeling involved with decision making, and not being given adequate time to come to terms with their loss and make decisions [11, 77, 78].”
Background
- Authors
- Robson, S. J., Leader, L. R., Bennett, M. J., & Dear, K. B. G.
- Affiliations
- Australian National University (AU)
- Royal Hospital for Women (AU)
- Corresponding author
- Robson, Stephen J.
- Venue
- Journal of Obstetrics and Gynaecology Research
- Publisher
- Wiley
- Published
- 2010-02
- Volume
- 36
- Issue
- 1
- Pages
- 108-114
- ISSN
- 1341-8076 (ISSN-L)
- 1447-0756
- OpenAlex
- W2069768409
- Cited by
- 13
- References
- 19
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of obstetrics and gynaecology research (publishedVersion)
- PubMed (publishedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- unexplained stillbirth, perinatal autopsy, prenatal testing, preterm birth, cesarean section, pregnancy decision-making, grief and bereavement
- MeSH terms
- Adult, Attitude to Health, Female, Humans, Middle Aged, Pregnancy, Pregnancy Complications, Prenatal Care, Pregnancy, High-Risk, Health Care Surveys, Internet, Stillbirth, Young Adult, Patient Preference
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