The RESPECT Study for consensus on global bereavement care after stillbirth

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.