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The RESPECT Study for consensus on global bereavement care after stillbirth.

Clare Shakespeare1, Abi Merriel1, Danya Bakhbakhi1

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Summary

Eight core principles for stillbirth bereavement care were established through global consensus. This aims to improve care quality by training staff, reducing stigma, and supporting families through grief and reproductive choices.

Keywords:
Bereavement careGlobal healthStillbirth

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Area of Science:

  • Perinatal Medicine
  • Public Health
  • Healthcare Policy

Background:

  • Stillbirth is a significant global health issue with profound impact on families.
  • Bereavement care following stillbirth is crucial for maternal and family well-being.
  • Existing care practices for stillbirth bereavement vary significantly worldwide.

Purpose of the Study:

  • To achieve global consensus on evidence-based core principles for stillbirth bereavement care.
  • To establish a standardized framework for high-quality bereavement support after stillbirth.

Main Methods:

  • Modified policy-Delphi methodology employed from September 2017 to October 2018.
  • Involved international stakeholders and healthcare workers with stillbirth experience.
  • Utilized expert meetings and multiple internet-based surveys, including a global survey.

Main Results:

  • Initial 23 stakeholders identified 10 core principles from 43 evidence-based themes.
  • Global survey (236 responses, 26 countries) refined principles to nine.
  • Consensus achieved on eight core principles for stillbirth bereavement care.

Conclusions:

  • Eight evidence-based principles for stillbirth bereavement care were established through international consensus.
  • Key principles include staff training, stigma reduction, respectful care, and support for grief and physical/psychological needs.
  • Future work should focus on implementation and incorporating the perspectives of women and families globally.