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Development of the Oral Microbiota01:28

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The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
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Verbal Information From Parents About Stillbirth: The VIPS Study (Phase One).

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Area of Science:

  • Perinatal Medicine
  • Public Health
  • Qualitative Research Methodology

Background:

  • Stillbirth cause of death (COD) determination often relies solely on clinical data.
  • Parents' perspectives on their baby's COD can offer valuable insights.
  • Integrating parental experiences can enhance understanding of stillbirth etiology.

Purpose of the Study:

  • To develop a standardized, co-designed interview schedule for parents.
  • To facilitate parental contribution to stillbirth cause of death investigations.
  • To improve the comprehensive understanding of stillbirth causes.

Main Methods:

  • A modified Delphi study involving international panelists.
  • Panelists included bereaved parents, clinicians, and researchers.
  • Two-round consensus process to refine interview questions.

Main Results:

  • 126 panelists in Round 1 generated 553 potential interview questions.
  • Questions were categorized into key areas of pregnancy and parental experience.
  • High consensus (83-98%) achieved for all question categories.

Conclusions:

  • The study prioritized questions important to bereaved parents.
  • The co-designed interview schedule will be trialled with parents.
  • Findings will guide future research on incorporating parental input into COD determination.