Abstract

We aimed to compare the effectiveness of different interventions or models of care in improving pregnancy outcomes for parents who have had a previous stillbirth at 20 weeks' gestation or more. The care could be initiated before pregnancy, or during pregnancy, labour, or birth. We searched for evidence from randomised controlled trials published up to June 2018. We included 10 studies at low to moderate risk of bias. All but one study were from high‐income countries, mainly in developed areas of Europe. There is insufficient evidence from the studies included in this review to know which interventions are helpful in preventing subsequent stillbirths and improving the health and well‐being of parents and families in pregnancies that follow a stillbirth. More targeted studies are needed, which include larger numbers of women/parents who have previously experienced a stillbirth. We urgently need studies testing what forms of psychological support are most helpful in reducing anxiety and depression for these parents. Any studies carried out in future should measure the financial costs of interventions, and longer‐term health outcomes of families and children.