Interventions, outcomes and outcome measurement instruments in stillbirth care research: A systematic review to inform the development of a core outcome set
Background A core outcome set could address inconsistent outcome reporting and improve evidence for stillbirth care research, which have been identified as an important research priority. Objectives To identify outcomes and outcome measurement instruments reported by studies evaluating interventions...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2023-05, Vol.130 (6), p.560-576 |
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| creator | Bakhbakhi, Danya Siassakos, Dimitrios Davies, Anna Merriel, Abi Barnard, Katie Stead, Emma Shakespeare, Clare Duffy, James M. N. Hinton, Lisa McDowell, Karolina Lyons, Anna Fraser, Abigail Burden, Christy Redshaw, Maggie Flenady, Vicki Heazell, Alexander Timlin, Laura Lynch, Mary Downe, Soo Slade, Pauline Thorne, Lisa Coombs, Heather‐Jane Wojcieszek, Aleena Murphy, Margaret Oliveira Salgado, Heloisa Wimmer, Lindsey Pollock, Danielle Aggarwal, Neelam Leisher, Susannah Hopkins Mulley, Kate Attachie, Irene Atkins, Bethany |
| description | Background
A core outcome set could address inconsistent outcome reporting and improve evidence for stillbirth care research, which have been identified as an important research priority.
Objectives
To identify outcomes and outcome measurement instruments reported by studies evaluating interventions after the diagnosis of a stillbirth.
Search strategy
Amed, BNI, CINAHL, ClinicalTrials.gov, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Embase, MEDLINE, PsycINFO, and WHO ICTRP from 1998 to August 2021.
Selection criteria
Randomised and non‐randomised comparative or non‐comparative studies reporting a stillbirth care intervention.
Data collection and analysis
Interventions, outcomes reported, definitions and outcome measurement tools were extracted.
Main results
Forty randomised and 200 non‐randomised studies were included. Fifty‐eight different interventions were reported, labour and birth care (52 studies), hospital bereavement care (28 studies), clinical investigations (116 studies), care in a multiple pregnancy (2 studies), psychosocial support (28 studies) and care in a subsequent pregnancy (14 studies). A total of 391 unique outcomes were reported and organised into 14 outcome domains: labour and birth; postpartum; delivery of care; investigations; multiple pregnancy; mental health; emotional functioning; grief and bereavement; social functioning; relationship; whole person; subsequent pregnancy; subsequent children and siblings and economic. A total of 242 outcome measurement instruments were used, with 0–22 tools per outcome.
Conclusions
Heterogeneity in outcome reporting, outcome definition and measurement tools in care after stillbirth exists. Considerable research gaps on specific intervention types in stillbirth care were identified. A core outcome set is needed to standardise outcome collection and reporting for stillbirth care research. |
| doi_str_mv | 10.1111/1471-0528.17390 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2767171967</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2799875308</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4120-ffa83703333bf5f1f4262946a2ea01d35e932d194e6667a205c653ccaa52ce023</originalsourceid><addsrcrecordid>eNqFkT1vFDEQhi0EIiGhpkOWaCiyiT_W9i5diAIERUoTasvnndU52l0fHu9F91_yY-O7y6WgYRqPR888tvQS8omzc17qgteGV0yJ5pwb2bI35Ph18nbXs4pJ0RyRD4gPjHEtmHxPjqTWSknNj8nTzZQhrWHKIU54RuOcfRwBqZu6w4WO4HBOMBaKhglzmrctlp5iDsOwCCkvqXcJaAIEl_zyG72kuMEMo8vBl_E6wCPNsez0MY00L4F2sIYhrnba2FNHfSyGw6MI-ZS8692A8PHlPCF_flzfX_2qbu9-3lxd3la-5oJVfe8aaZgstehVz_taaNHW2glwjHdSQStFx9satNbGCaa8VtJ755TwwIQ8IV_33lWKf2fAbMeAHobBTRBntMJoww1vtSnol3_QhzinqfyuUG3bGCVZU6iLPeVTREzQ21UKo0sby5ndBme3MdltTHYXXNn4_OKdFyN0r_whqQKoPfAYBtj8z2e__77bi58B4m6kpA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2799875308</pqid></control><display><type>article</type><title>Interventions, outcomes and outcome measurement instruments in stillbirth care research: A systematic review to inform the development of a core outcome set</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Bakhbakhi, Danya ; Siassakos, Dimitrios ; Davies, Anna ; Merriel, Abi ; Barnard, Katie ; Stead, Emma ; Shakespeare, Clare ; Duffy, James M. N. ; Hinton, Lisa ; McDowell, Karolina ; Lyons, Anna ; Fraser, Abigail ; Burden, Christy ; Redshaw, Maggie ; Flenady, Vicki ; Heazell, Alexander ; Timlin, Laura ; Lynch, Mary ; Downe, Soo ; Slade, Pauline ; Thorne, Lisa ; Coombs, Heather‐Jane ; Wojcieszek, Aleena ; Murphy, Margaret ; Oliveira Salgado, Heloisa ; Wimmer, Lindsey ; Pollock, Danielle ; Aggarwal, Neelam ; Leisher, Susannah Hopkins ; Mulley, Kate ; Attachie, Irene ; Atkins, Bethany</creator><creatorcontrib>Bakhbakhi, Danya ; Siassakos, Dimitrios ; Davies, Anna ; Merriel, Abi ; Barnard, Katie ; Stead, Emma ; Shakespeare, Clare ; Duffy, James M. N. ; Hinton, Lisa ; McDowell, Karolina ; Lyons, Anna ; Fraser, Abigail ; Burden, Christy ; Redshaw, Maggie ; Flenady, Vicki ; Heazell, Alexander ; Timlin, Laura ; Lynch, Mary ; Downe, Soo ; Slade, Pauline ; Thorne, Lisa ; Coombs, Heather‐Jane ; Wojcieszek, Aleena ; Murphy, Margaret ; Oliveira Salgado, Heloisa ; Wimmer, Lindsey ; Pollock, Danielle ; Aggarwal, Neelam ; Leisher, Susannah Hopkins ; Mulley, Kate ; Attachie, Irene ; Atkins, Bethany ; iCHOOSE Collaborative Group</creatorcontrib><description>Background
A core outcome set could address inconsistent outcome reporting and improve evidence for stillbirth care research, which have been identified as an important research priority.
Objectives
To identify outcomes and outcome measurement instruments reported by studies evaluating interventions after the diagnosis of a stillbirth.
Search strategy
Amed, BNI, CINAHL, ClinicalTrials.gov, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Embase, MEDLINE, PsycINFO, and WHO ICTRP from 1998 to August 2021.
Selection criteria
Randomised and non‐randomised comparative or non‐comparative studies reporting a stillbirth care intervention.
Data collection and analysis
Interventions, outcomes reported, definitions and outcome measurement tools were extracted.
Main results
Forty randomised and 200 non‐randomised studies were included. Fifty‐eight different interventions were reported, labour and birth care (52 studies), hospital bereavement care (28 studies), clinical investigations (116 studies), care in a multiple pregnancy (2 studies), psychosocial support (28 studies) and care in a subsequent pregnancy (14 studies). A total of 391 unique outcomes were reported and organised into 14 outcome domains: labour and birth; postpartum; delivery of care; investigations; multiple pregnancy; mental health; emotional functioning; grief and bereavement; social functioning; relationship; whole person; subsequent pregnancy; subsequent children and siblings and economic. A total of 242 outcome measurement instruments were used, with 0–22 tools per outcome.
Conclusions
Heterogeneity in outcome reporting, outcome definition and measurement tools in care after stillbirth exists. Considerable research gaps on specific intervention types in stillbirth care were identified. A core outcome set is needed to standardise outcome collection and reporting for stillbirth care research.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.17390</identifier><identifier>PMID: 36655361</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Child ; Clinical trials ; core outcome set ; Data collection ; Female ; Humans ; Outcome Assessment, Health Care ; Parturition ; patient and public involvement ; Pregnancy ; Psychosocial Support Systems ; Stillbirth ; stillbirth care ; systematic review</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2023-05, Vol.130 (6), p.560-576</ispartof><rights>2023 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4120-ffa83703333bf5f1f4262946a2ea01d35e932d194e6667a205c653ccaa52ce023</citedby><cites>FETCH-LOGICAL-c4120-ffa83703333bf5f1f4262946a2ea01d35e932d194e6667a205c653ccaa52ce023</cites><orcidid>0000-0003-0352-2106 ; 0000-0001-7084-4055 ; 0000-0003-0743-6547</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.17390$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.17390$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36655361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bakhbakhi, Danya</creatorcontrib><creatorcontrib>Siassakos, Dimitrios</creatorcontrib><creatorcontrib>Davies, Anna</creatorcontrib><creatorcontrib>Merriel, Abi</creatorcontrib><creatorcontrib>Barnard, Katie</creatorcontrib><creatorcontrib>Stead, Emma</creatorcontrib><creatorcontrib>Shakespeare, Clare</creatorcontrib><creatorcontrib>Duffy, James M. N.</creatorcontrib><creatorcontrib>Hinton, Lisa</creatorcontrib><creatorcontrib>McDowell, Karolina</creatorcontrib><creatorcontrib>Lyons, Anna</creatorcontrib><creatorcontrib>Fraser, Abigail</creatorcontrib><creatorcontrib>Burden, Christy</creatorcontrib><creatorcontrib>Redshaw, Maggie</creatorcontrib><creatorcontrib>Flenady, Vicki</creatorcontrib><creatorcontrib>Heazell, Alexander</creatorcontrib><creatorcontrib>Timlin, Laura</creatorcontrib><creatorcontrib>Lynch, Mary</creatorcontrib><creatorcontrib>Downe, Soo</creatorcontrib><creatorcontrib>Slade, Pauline</creatorcontrib><creatorcontrib>Thorne, Lisa</creatorcontrib><creatorcontrib>Coombs, Heather‐Jane</creatorcontrib><creatorcontrib>Wojcieszek, Aleena</creatorcontrib><creatorcontrib>Murphy, Margaret</creatorcontrib><creatorcontrib>Oliveira Salgado, Heloisa</creatorcontrib><creatorcontrib>Wimmer, Lindsey</creatorcontrib><creatorcontrib>Pollock, Danielle</creatorcontrib><creatorcontrib>Aggarwal, Neelam</creatorcontrib><creatorcontrib>Leisher, Susannah Hopkins</creatorcontrib><creatorcontrib>Mulley, Kate</creatorcontrib><creatorcontrib>Attachie, Irene</creatorcontrib><creatorcontrib>Atkins, Bethany</creatorcontrib><creatorcontrib>iCHOOSE Collaborative Group</creatorcontrib><title>Interventions, outcomes and outcome measurement instruments in stillbirth care research: A systematic review to inform the development of a core outcome set</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Background
A core outcome set could address inconsistent outcome reporting and improve evidence for stillbirth care research, which have been identified as an important research priority.
Objectives
To identify outcomes and outcome measurement instruments reported by studies evaluating interventions after the diagnosis of a stillbirth.
Search strategy
Amed, BNI, CINAHL, ClinicalTrials.gov, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Embase, MEDLINE, PsycINFO, and WHO ICTRP from 1998 to August 2021.
Selection criteria
Randomised and non‐randomised comparative or non‐comparative studies reporting a stillbirth care intervention.
Data collection and analysis
Interventions, outcomes reported, definitions and outcome measurement tools were extracted.
Main results
Forty randomised and 200 non‐randomised studies were included. Fifty‐eight different interventions were reported, labour and birth care (52 studies), hospital bereavement care (28 studies), clinical investigations (116 studies), care in a multiple pregnancy (2 studies), psychosocial support (28 studies) and care in a subsequent pregnancy (14 studies). A total of 391 unique outcomes were reported and organised into 14 outcome domains: labour and birth; postpartum; delivery of care; investigations; multiple pregnancy; mental health; emotional functioning; grief and bereavement; social functioning; relationship; whole person; subsequent pregnancy; subsequent children and siblings and economic. A total of 242 outcome measurement instruments were used, with 0–22 tools per outcome.
Conclusions
Heterogeneity in outcome reporting, outcome definition and measurement tools in care after stillbirth exists. Considerable research gaps on specific intervention types in stillbirth care were identified. A core outcome set is needed to standardise outcome collection and reporting for stillbirth care research.</description><subject>Child</subject><subject>Clinical trials</subject><subject>core outcome set</subject><subject>Data collection</subject><subject>Female</subject><subject>Humans</subject><subject>Outcome Assessment, Health Care</subject><subject>Parturition</subject><subject>patient and public involvement</subject><subject>Pregnancy</subject><subject>Psychosocial Support Systems</subject><subject>Stillbirth</subject><subject>stillbirth care</subject><subject>systematic review</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNqFkT1vFDEQhi0EIiGhpkOWaCiyiT_W9i5diAIERUoTasvnndU52l0fHu9F91_yY-O7y6WgYRqPR888tvQS8omzc17qgteGV0yJ5pwb2bI35Ph18nbXs4pJ0RyRD4gPjHEtmHxPjqTWSknNj8nTzZQhrWHKIU54RuOcfRwBqZu6w4WO4HBOMBaKhglzmrctlp5iDsOwCCkvqXcJaAIEl_zyG72kuMEMo8vBl_E6wCPNsez0MY00L4F2sIYhrnba2FNHfSyGw6MI-ZS8692A8PHlPCF_flzfX_2qbu9-3lxd3la-5oJVfe8aaZgstehVz_taaNHW2glwjHdSQStFx9satNbGCaa8VtJ755TwwIQ8IV_33lWKf2fAbMeAHobBTRBntMJoww1vtSnol3_QhzinqfyuUG3bGCVZU6iLPeVTREzQ21UKo0sby5ndBme3MdltTHYXXNn4_OKdFyN0r_whqQKoPfAYBtj8z2e__77bi58B4m6kpA</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Bakhbakhi, Danya</creator><creator>Siassakos, Dimitrios</creator><creator>Davies, Anna</creator><creator>Merriel, Abi</creator><creator>Barnard, Katie</creator><creator>Stead, Emma</creator><creator>Shakespeare, Clare</creator><creator>Duffy, James M. N.</creator><creator>Hinton, Lisa</creator><creator>McDowell, Karolina</creator><creator>Lyons, Anna</creator><creator>Fraser, Abigail</creator><creator>Burden, Christy</creator><creator>Redshaw, Maggie</creator><creator>Flenady, Vicki</creator><creator>Heazell, Alexander</creator><creator>Timlin, Laura</creator><creator>Lynch, Mary</creator><creator>Downe, Soo</creator><creator>Slade, Pauline</creator><creator>Thorne, Lisa</creator><creator>Coombs, Heather‐Jane</creator><creator>Wojcieszek, Aleena</creator><creator>Murphy, Margaret</creator><creator>Oliveira Salgado, Heloisa</creator><creator>Wimmer, Lindsey</creator><creator>Pollock, Danielle</creator><creator>Aggarwal, Neelam</creator><creator>Leisher, Susannah Hopkins</creator><creator>Mulley, Kate</creator><creator>Attachie, Irene</creator><creator>Atkins, Bethany</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0352-2106</orcidid><orcidid>https://orcid.org/0000-0001-7084-4055</orcidid><orcidid>https://orcid.org/0000-0003-0743-6547</orcidid></search><sort><creationdate>202305</creationdate><title>Interventions, outcomes and outcome measurement instruments in stillbirth care research: A systematic review to inform the development of a core outcome set</title><author>Bakhbakhi, Danya ; Siassakos, Dimitrios ; Davies, Anna ; Merriel, Abi ; Barnard, Katie ; Stead, Emma ; Shakespeare, Clare ; Duffy, James M. N. ; Hinton, Lisa ; McDowell, Karolina ; Lyons, Anna ; Fraser, Abigail ; Burden, Christy ; Redshaw, Maggie ; Flenady, Vicki ; Heazell, Alexander ; Timlin, Laura ; Lynch, Mary ; Downe, Soo ; Slade, Pauline ; Thorne, Lisa ; Coombs, Heather‐Jane ; Wojcieszek, Aleena ; Murphy, Margaret ; Oliveira Salgado, Heloisa ; Wimmer, Lindsey ; Pollock, Danielle ; Aggarwal, Neelam ; Leisher, Susannah Hopkins ; Mulley, Kate ; Attachie, Irene ; Atkins, Bethany</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4120-ffa83703333bf5f1f4262946a2ea01d35e932d194e6667a205c653ccaa52ce023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Child</topic><topic>Clinical trials</topic><topic>core outcome set</topic><topic>Data collection</topic><topic>Female</topic><topic>Humans</topic><topic>Outcome Assessment, Health Care</topic><topic>Parturition</topic><topic>patient and public involvement</topic><topic>Pregnancy</topic><topic>Psychosocial Support Systems</topic><topic>Stillbirth</topic><topic>stillbirth care</topic><topic>systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bakhbakhi, Danya</creatorcontrib><creatorcontrib>Siassakos, Dimitrios</creatorcontrib><creatorcontrib>Davies, Anna</creatorcontrib><creatorcontrib>Merriel, Abi</creatorcontrib><creatorcontrib>Barnard, Katie</creatorcontrib><creatorcontrib>Stead, Emma</creatorcontrib><creatorcontrib>Shakespeare, Clare</creatorcontrib><creatorcontrib>Duffy, James M. N.</creatorcontrib><creatorcontrib>Hinton, Lisa</creatorcontrib><creatorcontrib>McDowell, Karolina</creatorcontrib><creatorcontrib>Lyons, Anna</creatorcontrib><creatorcontrib>Fraser, Abigail</creatorcontrib><creatorcontrib>Burden, Christy</creatorcontrib><creatorcontrib>Redshaw, Maggie</creatorcontrib><creatorcontrib>Flenady, Vicki</creatorcontrib><creatorcontrib>Heazell, Alexander</creatorcontrib><creatorcontrib>Timlin, Laura</creatorcontrib><creatorcontrib>Lynch, Mary</creatorcontrib><creatorcontrib>Downe, Soo</creatorcontrib><creatorcontrib>Slade, Pauline</creatorcontrib><creatorcontrib>Thorne, Lisa</creatorcontrib><creatorcontrib>Coombs, Heather‐Jane</creatorcontrib><creatorcontrib>Wojcieszek, Aleena</creatorcontrib><creatorcontrib>Murphy, Margaret</creatorcontrib><creatorcontrib>Oliveira Salgado, Heloisa</creatorcontrib><creatorcontrib>Wimmer, Lindsey</creatorcontrib><creatorcontrib>Pollock, Danielle</creatorcontrib><creatorcontrib>Aggarwal, Neelam</creatorcontrib><creatorcontrib>Leisher, Susannah Hopkins</creatorcontrib><creatorcontrib>Mulley, Kate</creatorcontrib><creatorcontrib>Attachie, Irene</creatorcontrib><creatorcontrib>Atkins, Bethany</creatorcontrib><creatorcontrib>iCHOOSE Collaborative Group</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bakhbakhi, Danya</au><au>Siassakos, Dimitrios</au><au>Davies, Anna</au><au>Merriel, Abi</au><au>Barnard, Katie</au><au>Stead, Emma</au><au>Shakespeare, Clare</au><au>Duffy, James M. N.</au><au>Hinton, Lisa</au><au>McDowell, Karolina</au><au>Lyons, Anna</au><au>Fraser, Abigail</au><au>Burden, Christy</au><au>Redshaw, Maggie</au><au>Flenady, Vicki</au><au>Heazell, Alexander</au><au>Timlin, Laura</au><au>Lynch, Mary</au><au>Downe, Soo</au><au>Slade, Pauline</au><au>Thorne, Lisa</au><au>Coombs, Heather‐Jane</au><au>Wojcieszek, Aleena</au><au>Murphy, Margaret</au><au>Oliveira Salgado, Heloisa</au><au>Wimmer, Lindsey</au><au>Pollock, Danielle</au><au>Aggarwal, Neelam</au><au>Leisher, Susannah Hopkins</au><au>Mulley, Kate</au><au>Attachie, Irene</au><au>Atkins, Bethany</au><aucorp>iCHOOSE Collaborative Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interventions, outcomes and outcome measurement instruments in stillbirth care research: A systematic review to inform the development of a core outcome set</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2023-05</date><risdate>2023</risdate><volume>130</volume><issue>6</issue><spage>560</spage><epage>576</epage><pages>560-576</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><abstract>Background
A core outcome set could address inconsistent outcome reporting and improve evidence for stillbirth care research, which have been identified as an important research priority.
Objectives
To identify outcomes and outcome measurement instruments reported by studies evaluating interventions after the diagnosis of a stillbirth.
Search strategy
Amed, BNI, CINAHL, ClinicalTrials.gov, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Embase, MEDLINE, PsycINFO, and WHO ICTRP from 1998 to August 2021.
Selection criteria
Randomised and non‐randomised comparative or non‐comparative studies reporting a stillbirth care intervention.
Data collection and analysis
Interventions, outcomes reported, definitions and outcome measurement tools were extracted.
Main results
Forty randomised and 200 non‐randomised studies were included. Fifty‐eight different interventions were reported, labour and birth care (52 studies), hospital bereavement care (28 studies), clinical investigations (116 studies), care in a multiple pregnancy (2 studies), psychosocial support (28 studies) and care in a subsequent pregnancy (14 studies). A total of 391 unique outcomes were reported and organised into 14 outcome domains: labour and birth; postpartum; delivery of care; investigations; multiple pregnancy; mental health; emotional functioning; grief and bereavement; social functioning; relationship; whole person; subsequent pregnancy; subsequent children and siblings and economic. A total of 242 outcome measurement instruments were used, with 0–22 tools per outcome.
Conclusions
Heterogeneity in outcome reporting, outcome definition and measurement tools in care after stillbirth exists. Considerable research gaps on specific intervention types in stillbirth care were identified. A core outcome set is needed to standardise outcome collection and reporting for stillbirth care research.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36655361</pmid><doi>10.1111/1471-0528.17390</doi><tpages>17</tpages><orcidid>https://orcid.org/0000-0003-0352-2106</orcidid><orcidid>https://orcid.org/0000-0001-7084-4055</orcidid><orcidid>https://orcid.org/0000-0003-0743-6547</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1470-0328 |
| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2023-05, Vol.130 (6), p.560-576 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Child Clinical trials core outcome set Data collection Female Humans Outcome Assessment, Health Care Parturition patient and public involvement Pregnancy Psychosocial Support Systems Stillbirth stillbirth care systematic review |
| title | Interventions, outcomes and outcome measurement instruments in stillbirth care research: A systematic review to inform the development of a core outcome set |
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