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dc.contributor.author
Wojcieszek, A.M.  
dc.contributor.author
Boyle, F.M.  
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Belizan, Jose  
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Cassidy, J  
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Cassidy, P  
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Erwich, J.J.H.M.  
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Farrales, L  
dc.contributor.author
Gross, MM  
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Heazell, A.E.P  
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Leisher, S.H.  
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Mills, T  
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Murphy, M  
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Pettersson, K  
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Ravaldi, C  
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Ruidiaz, J  
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Siassakos, D  
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Silver, R.M.  
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Storey, C  
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Vannacci, A  
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Middleton, P  
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Ellwood, D  
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Flenady, V  
dc.date.available
2018-06-07T14:19:17Z  
dc.date.issued
2016-11  
dc.identifier.citation
Wojcieszek, A.M.; Boyle, F.M.; Belizan, Jose; Cassidy, J; Cassidy, P; et al.; Care in subsequent pregnancies following stillbirth: an international survey of parents; Wiley Blackwell Publishing, Inc; BJOG - An International Journal of Obstetrics and Gynaecology; 125; 2; 11-2016  
dc.identifier.issn
1470-0328  
dc.identifier.uri
http://hdl.handle.net/11336/47650  
dc.description.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.  
dc.format
application/pdf  
dc.language.iso
eng  
dc.publisher
Wiley Blackwell Publishing, Inc  
dc.rights
info:eu-repo/semantics/openAccess  
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/  
dc.subject
Stillbirth  
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Medicina Critica y de Emergencia  
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Medicina Clínica  
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CIENCIAS MÉDICAS Y DE LA SALUD  
dc.title
Care in subsequent pregnancies following stillbirth: an international survey of parents  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2018-05-31T15:06:11Z  
dc.journal.volume
125  
dc.journal.number
2  
dc.journal.pais
Reino Unido  
dc.journal.ciudad
Londres  
dc.description.fil
Fil: Wojcieszek, A.M.. The University Of Queensland; Australia  
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Fil: Boyle, F.M.. The University Of Queensland; Australia  
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Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. International Stillbirth Alliance; Reino Unido. Instituto de Eficacia Clínica y Política de Salud; Argentina  
dc.description.fil
Fil: Cassidy, J. International Stillbirth Alliance; Reino Unido. Umamanita; España  
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Fil: Cassidy, P. International Stillbirth Alliance; Reino Unido. Umamanita; España  
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Fil: Erwich, J.J.H.M.. International Stillbirth Alliance; Reino Unido. University of Groningen; Países Bajos  
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Fil: Farrales, L. International Stillbirth Alliance; Reino Unido. University of British Columbia; Canadá. Research and Support Society; Canadá  
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Fil: Gross, MM. International Stillbirth Alliance; Reino Unido. Hannover Medical School; Alemania. Universitat Zurich; Suiza  
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Fil: Heazell, A.E.P. International Stillbirth Alliance; Reino Unido. University of Manchester; Reino Unido. Manchester Academic Health Science Centre; Reino Unido  
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Fil: Leisher, S.H.. International Stillbirth Alliance; Reino Unido. The University Of Queensland; Australia  
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Fil: Mills, T. University of Manchester; Reino Unido  
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Fil: Murphy, M. International Stillbirth Alliance; Reino Unido. University College Cork; Irlanda  
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Fil: Pettersson, K. International Stillbirth Alliance; Reino Unido. Karolinska University; Suecia  
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Fil: Ravaldi, C. International Stillbirth Alliance; Reino Unido. Ciao Lapo Onlus; Italia  
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Fil: Ruidiaz, J. International Stillbirth Alliance; Reino Unido. Era en Abril; Argentina  
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Fil: Siassakos, D. International Stillbirth Alliance; Reino Unido. University of Bristol; Reino Unido  
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Fil: Silver, R.M.. International Stillbirth Alliance; Reino Unido. University of Utah; Estados Unidos  
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Fil: Storey, C. International Stillbirth Alliance; Reino Unido  
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Fil: Vannacci, A. International Stillbirth Alliance; Reino Unido. Ciao Lapo Onlus; Italia. University of Florence; Italia  
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Fil: Middleton, P. International Stillbirth Alliance; Reino Unido. South Australian Health and Medical Research Institute; Australia  
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Fil: Ellwood, D. International Stillbirth Alliance; Reino Unido. Griffith University and Gold Coast University ; Australia  
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Fil: Flenady, V. International Stillbirth Alliance; Reino Unido. University of Queensland; Australia  
dc.journal.title
BJOG - An International Journal of Obstetrics and Gynaecology  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/https://dx.doi.org/10.1111/1471-0528.14424  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1111/1471-0528.14424