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Conversations About Stillbirth Risk in Routine Antenatal Care: A Qualitative Study Post-Implementation of the Safer

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Summary

The Safer Baby Bundle (SBB) initiative successfully normalized stillbirth risk conversations in antenatal care. Empowering information, reduced stigma, and woman-centered approaches are key for effective communication during pregnancy.

Keywords:
antenatal carepatient perspectivequalitative studystillbirthstillbirth prevention

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Area of Science:

  • Maternal Health
  • Obstetrics
  • Public Health

Background:

  • Stillbirth remains a significant concern in maternal healthcare.
  • Effective communication regarding stillbirth risk is crucial for prevention strategies.
  • The Safer Baby Bundle (SBB) was implemented to improve antenatal conversations about stillbirth.

Purpose of the Study:

  • To explore women's and healthcare professionals' experiences with stillbirth risk and prevention discussions.
  • To assess the impact of the Safer Baby Bundle (SBB) on normalizing these conversations.
  • To identify factors influencing the effectiveness of antenatal stillbirth risk communication.

Main Methods:

  • Qualitative interview study conducted in Australian maternity services.
  • Semi-structured interviews with 18 postnatal women and 22 healthcare professionals.
  • Deductive thematic analysis of interview data.

Main Results:

  • Three themes emerged: 'information that reassures and empowers,' 'normalizing sensitive conversations,' and 'steps towards respectful and supportive woman-centered care.'
  • Effective communication prioritizes respectful dialogue, emphasizes prevention, reduces stigma, and focuses on women's priorities.
  • Continuity of care and carer were identified as crucial for building trust and responsive conversations.

Conclusions:

  • The Safer Baby Bundle (SBB) facilitates the integration of stillbirth conversations into routine antenatal care.
  • Effective, woman-centered stillbirth discussions require multidisciplinary collaboration, targeted training, and co-designed resources.
  • Addressing fragmentation of care and adopting a strengths-based approach are vital for improving communication about stillbirth risk.