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The RESPECT Study for consensus on global bereavement care after stillbirth

Consensus on a set of eight evidence-based core principles for bereavement care after stillbirth was established. Highest quality bereavement care should be enabled through training of healthcare staff to reduce stigma and establish respectful care.

Authors

Margaret Murphy

Year
2020
Journal Name
International Journal of Gynaecology & Obstetrics
Category
Journal Article
Keywords
Bereavement care, Pregnancy after loss, Stillbirth
Project

Pregnancy after stillbirth

Full Citation

Shakespeare C, Merriel A, Bakhbakhi D, Blencowe H, Boyle FM, Flenady V, Gold K, Horey D, Lynch M, Mills TA, Murphy MM, Storey C, Toolan M, Siassakos D, The RESPECT Study for consensus on global bereavement care after stillbirth. International Journal of Gynecology & Obstetrics. 2020;149:137-147. https://doi.org/10.1002/ijgo.13110.

Link to Publication
https://doi.org/10.1002/ijgo.13110

Abstract

This study aimed to develop global consensus on a set of evidence-based core principles for bereavement care after stillbirth. We used a modified policy-Delphi methodology to consult international stakeholders and healthcare workers with experience in stillbirth between September 2017 and October 2018. This involved two expert stakeholder meetings and three internet-based surveys, including a global internet-based survey targeted at healthcare workers in a wide range of settings. Initially, 23 expert stakeholders considered 43 evidence-based themes derived from systematic reviews, identifying 10 core principles. The global survey received 236 responses from participants in 26 countries, after which nine principles met a priori criteria for inclusion. The final stakeholder meeting and internet-based survey of all participants confirmed consensus on eight core principles. Highest quality bereavement care should be enabled through training of healthcare staff to reduce stigma and establish respectful care, including acknowledgement and support for grief responses, and provision for physical and psychologic needs. Women and families should be supported to make informed choices, including those concerning their future reproductive health.

Pregnancy Loss Research Group

Pregnancy Loss Research Group, Department of Obstetrics & Gynaecology, University College Cork, Fifth Floor, Cork University Maternity Hospital, Wilton, Cork, T12 YE02, Ireland,

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