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Murine Fetal Echocardiography

Murine Fetal Echocardiography

Published on: February 15, 2013

Fetal autopsy and closing the gap.

Yogavijayan Kandasamy^1,2,3, Meegan Kilcullen⁴, David Watson^3,5

¹Department of Neonatology, The Townsville Hospital, Douglas, Queensland, Australia.

The Australian & New Zealand Journal of Obstetrics & Gynaecology

|June 3, 2016

Summary

Perinatal mortality has decreased in Australia, but stillbirth rates persist, especially for Indigenous mothers. Understanding culturally appropriate consent for fetal autopsy is crucial to address this disparity.

Keywords:

Indigenous autopsy disparity gap stillbirth

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Area of Science:

Perinatal Health
Indigenous Health Disparities
Obstetrics

Background:

Australian perinatal mortality rate (PMR) has significantly decreased over 30 years, primarily due to reduced neonatal mortality.
Stillbirth rates have remained stagnant, with a persistent twofold higher rate among Aboriginal and Torres Strait Islander mothers compared to non-Indigenous women.
The underlying causes for the persistent stillbirth disparity in Indigenous populations require further investigation.

Purpose of the Study:

To identify culturally appropriate methods for approaching Aboriginal and Torres Strait Islander families regarding consent for fetal autopsy.
To address the knowledge gap concerning facilitators and barriers to autopsy consent in Indigenous communities.
To inform strategies for reducing stillbirth rates and narrowing the gap between Indigenous and non-Indigenous mothers.

Main Methods:

The study focuses on the need to establish facilitators and barriers to fetal autopsy consent within Indigenous families.
It emphasizes the importance of culturally safe and appropriate counselling following fetal death.
The research highlights fetal autopsy as a critical tool for determining the cause of fetal demise.

Main Results:

Stillbirth rates for Aboriginal or Torres Strait Islander mothers remain approximately twice that for non-Indigenous women.
Causes for this disparity are not fully established.
Facilitators and barriers to autopsy consent in Indigenous families are yet to be determined.

Conclusions:

Addressing the persistent stillbirth gap requires culturally appropriate approaches to consent for fetal autopsy among Indigenous families.
Culturally safe counselling is essential for respectful care and knowledge acquisition.
Identifying causes of preventable stillbirth is key to reducing disparities in perinatal outcomes.