Determining the key elements of community-based care for women and partners following a stillbirth or second trimester miscarriage: protocol for a realist synthesis

Introduction Stillbirth and second trimester miscarriage have wide-reaching consequences for women, their partners and their families. There is currently little community-based care provision within the National Health Service for women and partners who have had a stillbirth or second trimester misc...

Full description

Saved in:
Bibliographic Details
Main Authors: Alexander Edward Heazell, Helen Leach, Sophie Staniszewska, Sarah Hillman, Amy Grove, Rachel Court, Becky MacGregor
Format: Article
Language:English
Published: BMJ Publishing Group 2025-05-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/5/e093581.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849322544711073792
author Alexander Edward Heazell
Helen Leach
Sophie Staniszewska
Sarah Hillman
Amy Grove
Rachel Court
Becky MacGregor
author_facet Alexander Edward Heazell
Helen Leach
Sophie Staniszewska
Sarah Hillman
Amy Grove
Rachel Court
Becky MacGregor
author_sort Alexander Edward Heazell
collection DOAJ
description Introduction Stillbirth and second trimester miscarriage have wide-reaching consequences for women, their partners and their families. There is currently little community-based care provision within the National Health Service for women and partners who have had a stillbirth or second trimester miscarriage. There is a research gap in the evidence to guide best practice. This review will seek to understand how, when and where this care is best delivered.Methods and analysis The aim of this review is to identify the key elements of community-based care following a stillbirth or second trimester miscarriage. As this is a complex intervention, a realist approach will be used to establish for whom, how, when and where this care is best delivered. An initial programme theory will be constructed which will be tested against the available evidence and refined. A wide range of evidence including qualitative, quantitative, mixed-methods and experiential knowledge will be identified through secondary sources, extracted and synthesised to develop and refine the programme theory.Ethics and dissemination This review will not require ethical approval as it does not involve primary data collection. The findings will be submitted for open-access publication to a peer-reviewed journal and disseminated to stakeholders.PROSPERO registration number CRD42024587365.
format Article
id doaj-art-c0d1f5e356bb46b3a8398bd78e63e799
institution Kabale University
issn 2044-6055
language English
publishDate 2025-05-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-c0d1f5e356bb46b3a8398bd78e63e7992025-08-20T03:49:18ZengBMJ Publishing GroupBMJ Open2044-60552025-05-0115510.1136/bmjopen-2024-093581Determining the key elements of community-based care for women and partners following a stillbirth or second trimester miscarriage: protocol for a realist synthesisAlexander Edward Heazell0Helen Leach1Sophie Staniszewska2Sarah Hillman3Amy Grove4Rachel Court5Becky MacGregor6Maternal and Fetal Health Research Centre, University of Manchester, Manchester, UKWarwick Medical School, University of Warwick, Coventry, UKWarwick Medical School, University of Warwick, Coventry, UKApplied Health Sciences, University of Birmingham, Birmingham, UK4 Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UKBirmingham Centre for Evidence and Implementation Science, University of Birmingham, Birmingham, UKApplied Health Sciences, University of Birmingham, Birmingham, UKIntroduction Stillbirth and second trimester miscarriage have wide-reaching consequences for women, their partners and their families. There is currently little community-based care provision within the National Health Service for women and partners who have had a stillbirth or second trimester miscarriage. There is a research gap in the evidence to guide best practice. This review will seek to understand how, when and where this care is best delivered.Methods and analysis The aim of this review is to identify the key elements of community-based care following a stillbirth or second trimester miscarriage. As this is a complex intervention, a realist approach will be used to establish for whom, how, when and where this care is best delivered. An initial programme theory will be constructed which will be tested against the available evidence and refined. A wide range of evidence including qualitative, quantitative, mixed-methods and experiential knowledge will be identified through secondary sources, extracted and synthesised to develop and refine the programme theory.Ethics and dissemination This review will not require ethical approval as it does not involve primary data collection. The findings will be submitted for open-access publication to a peer-reviewed journal and disseminated to stakeholders.PROSPERO registration number CRD42024587365.https://bmjopen.bmj.com/content/15/5/e093581.full
spellingShingle Alexander Edward Heazell
Helen Leach
Sophie Staniszewska
Sarah Hillman
Amy Grove
Rachel Court
Becky MacGregor
Determining the key elements of community-based care for women and partners following a stillbirth or second trimester miscarriage: protocol for a realist synthesis
BMJ Open
title Determining the key elements of community-based care for women and partners following a stillbirth or second trimester miscarriage: protocol for a realist synthesis
title_full Determining the key elements of community-based care for women and partners following a stillbirth or second trimester miscarriage: protocol for a realist synthesis
title_fullStr Determining the key elements of community-based care for women and partners following a stillbirth or second trimester miscarriage: protocol for a realist synthesis
title_full_unstemmed Determining the key elements of community-based care for women and partners following a stillbirth or second trimester miscarriage: protocol for a realist synthesis
title_short Determining the key elements of community-based care for women and partners following a stillbirth or second trimester miscarriage: protocol for a realist synthesis
title_sort determining the key elements of community based care for women and partners following a stillbirth or second trimester miscarriage protocol for a realist synthesis
url https://bmjopen.bmj.com/content/15/5/e093581.full
work_keys_str_mv AT alexanderedwardheazell determiningthekeyelementsofcommunitybasedcareforwomenandpartnersfollowingastillbirthorsecondtrimestermiscarriageprotocolforarealistsynthesis
AT helenleach determiningthekeyelementsofcommunitybasedcareforwomenandpartnersfollowingastillbirthorsecondtrimestermiscarriageprotocolforarealistsynthesis
AT sophiestaniszewska determiningthekeyelementsofcommunitybasedcareforwomenandpartnersfollowingastillbirthorsecondtrimestermiscarriageprotocolforarealistsynthesis
AT sarahhillman determiningthekeyelementsofcommunitybasedcareforwomenandpartnersfollowingastillbirthorsecondtrimestermiscarriageprotocolforarealistsynthesis
AT amygrove determiningthekeyelementsofcommunitybasedcareforwomenandpartnersfollowingastillbirthorsecondtrimestermiscarriageprotocolforarealistsynthesis
AT rachelcourt determiningthekeyelementsofcommunitybasedcareforwomenandpartnersfollowingastillbirthorsecondtrimestermiscarriageprotocolforarealistsynthesis
AT beckymacgregor determiningthekeyelementsofcommunitybasedcareforwomenandpartnersfollowingastillbirthorsecondtrimestermiscarriageprotocolforarealistsynthesis