Stillbirth: prevention and supportive bereavement care
Around half of the two million stillbirths occurring worldwide each year are preventable. This review compiles the most up-to-date evidence to inform stillbirth prevention. Many general maternal health interventions also reduce the risk of stillbirth, for example, antenatal care attendance. This rev...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-10-01
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| Series: | BMJ Medicine |
| Online Access: | https://bmjmedicine.bmj.com/content/2/1/e000262.full |
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| author | Dimitrios Siassakos Bethany Atkins Lindsay Kindinger Muhammad Pradhiki Mahindra Zoe Moatti |
| author_facet | Dimitrios Siassakos Bethany Atkins Lindsay Kindinger Muhammad Pradhiki Mahindra Zoe Moatti |
| author_sort | Dimitrios Siassakos |
| collection | DOAJ |
| description | Around half of the two million stillbirths occurring worldwide each year are preventable. This review compiles the most up-to-date evidence to inform stillbirth prevention. Many general maternal health interventions also reduce the risk of stillbirth, for example, antenatal care attendance. This review focuses on specific aspects of care: glucose metabolism, targeted aspirin prophylaxis, clotting and immune disorders, sleep positions, fetal movement monitoring, and preconception and interconception health. In the past few years, covid-19 infection during pregnancy has emerged as a risk factor for stillbirth, particularly among women who were not vaccinated. Alongside prevention, efforts to address stillbirth must include provision of high quality, supportive, and compassionate bereavement care to improve parents’ wellbeing. A growing body of evidence suggests beneficial effects for parents who received supportive care and were offered choices such as mode of birth and the option to see and hold their baby. Staff need support to be able to care for parents effectively, yet, studies consistently highlight the scarcity of specific bereavement care training for healthcare providers. Action is urgently needed and is possible. Action must be taken with the evidence available now, in healthcare settings with high or low resources, to reduce stillbirths and improve training and care. |
| format | Article |
| id | doaj-art-c05b39e6604f4e9e94aa352c85220ef0 |
| institution | OA Journals |
| issn | 2754-0413 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Medicine |
| spelling | doaj-art-c05b39e6604f4e9e94aa352c85220ef02025-08-20T02:30:35ZengBMJ Publishing GroupBMJ Medicine2754-04132023-10-012110.1136/bmjmed-2022-000262Stillbirth: prevention and supportive bereavement careDimitrios Siassakos0Bethany Atkins1Lindsay Kindinger2Muhammad Pradhiki Mahindra3Zoe Moatti4Institute for Women’s Health, University College London, London, UK1 Institute for Women`s Health, University College London, London, UK10 King Edward Memorial Hospital for Women Perth, Subiaco, Western Australia, Australia1 Institute for Women`s Health, University College London, London, UK5 Whittington Hospital, London, UKAround half of the two million stillbirths occurring worldwide each year are preventable. This review compiles the most up-to-date evidence to inform stillbirth prevention. Many general maternal health interventions also reduce the risk of stillbirth, for example, antenatal care attendance. This review focuses on specific aspects of care: glucose metabolism, targeted aspirin prophylaxis, clotting and immune disorders, sleep positions, fetal movement monitoring, and preconception and interconception health. In the past few years, covid-19 infection during pregnancy has emerged as a risk factor for stillbirth, particularly among women who were not vaccinated. Alongside prevention, efforts to address stillbirth must include provision of high quality, supportive, and compassionate bereavement care to improve parents’ wellbeing. A growing body of evidence suggests beneficial effects for parents who received supportive care and were offered choices such as mode of birth and the option to see and hold their baby. Staff need support to be able to care for parents effectively, yet, studies consistently highlight the scarcity of specific bereavement care training for healthcare providers. Action is urgently needed and is possible. Action must be taken with the evidence available now, in healthcare settings with high or low resources, to reduce stillbirths and improve training and care.https://bmjmedicine.bmj.com/content/2/1/e000262.full |
| spellingShingle | Dimitrios Siassakos Bethany Atkins Lindsay Kindinger Muhammad Pradhiki Mahindra Zoe Moatti Stillbirth: prevention and supportive bereavement care BMJ Medicine |
| title | Stillbirth: prevention and supportive bereavement care |
| title_full | Stillbirth: prevention and supportive bereavement care |
| title_fullStr | Stillbirth: prevention and supportive bereavement care |
| title_full_unstemmed | Stillbirth: prevention and supportive bereavement care |
| title_short | Stillbirth: prevention and supportive bereavement care |
| title_sort | stillbirth prevention and supportive bereavement care |
| url | https://bmjmedicine.bmj.com/content/2/1/e000262.full |
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