Interventions to improve rates of post-mortem examination after stillbirth
Abstract Objective Despite recognition of the value of post-mortem examination following stillbirth, worldwide rates have declined since the early 1990s. There is a paucity of published evidence relating to factors that can improve post-mortem uptake. The aim of this study was to assess post-mortem...
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| Veröffentlicht in: | European journal of obstetrics & gynecology and reproductive biology 2010-12, Vol.153 (2), p.148-150 |
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| container_title | European journal of obstetrics & gynecology and reproductive biology |
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| creator | Stock, Sarah J Goldsmith, Lesley Evans, Margaret J Laing, Ian A |
| description | Abstract Objective Despite recognition of the value of post-mortem examination following stillbirth, worldwide rates have declined since the early 1990s. There is a paucity of published evidence relating to factors that can improve post-mortem uptake. The aim of this study was to assess post-mortem rates following stillbirth and identify trends in the past 18 years that may have affected acceptance of the investigation. Study design Retrospective cohort study. Results Sharp declines in post-mortems coincided with publicity surrounding unlawful organ retention. Although nationally post-mortem rates have continued to fall, in our unit there was recovery in post-mortem rates. This increase was associated with implementation of policies to promote the uptake of perinatal post-mortem, including availability of specialist perinatal pathologists, education in the value of post-mortem, and senior staff involvement in counselling regarding the procedure. Conclusion The need to improve uptake of post-mortem examination following stillbirth is internationally recognized. The results of this study suggest that increased local availability of specialist perinatal pathologists, who can support education in the value of post-mortem, along with senior staff obtaining consent, may help achieve this goal. |
| doi_str_mv | 10.1016/j.ejogrb.2010.07.022 |
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There is a paucity of published evidence relating to factors that can improve post-mortem uptake. The aim of this study was to assess post-mortem rates following stillbirth and identify trends in the past 18 years that may have affected acceptance of the investigation. Study design Retrospective cohort study. Results Sharp declines in post-mortems coincided with publicity surrounding unlawful organ retention. Although nationally post-mortem rates have continued to fall, in our unit there was recovery in post-mortem rates. This increase was associated with implementation of policies to promote the uptake of perinatal post-mortem, including availability of specialist perinatal pathologists, education in the value of post-mortem, and senior staff involvement in counselling regarding the procedure. Conclusion The need to improve uptake of post-mortem examination following stillbirth is internationally recognized. The results of this study suggest that increased local availability of specialist perinatal pathologists, who can support education in the value of post-mortem, along with senior staff obtaining consent, may help achieve this goal.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/j.ejogrb.2010.07.022</identifier><identifier>PMID: 20674132</identifier><identifier>CODEN: EOGRAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Autopsy ; Autopsy - statistics & numerical data ; Biological and medical sciences ; Cohort Studies ; Counseling ; Female ; Fetal loss ; Gynecology. Andrology. Obstetrics ; Humans ; Intrauterine death ; Medical sciences ; Obstetrics and Gynecology ; Perinatal mortality ; Post-mortem ; Pregnancy ; Retrospective Studies ; Scotland - epidemiology ; Stillbirth ; United Kingdom - epidemiology</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 2010-12, Vol.153 (2), p.148-150</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2010 Elsevier Ireland Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-f88c6b6a3c513f672002f5d7c7a634568d70c95208ad8d9d2ddfe069c6c887ba3</citedby><cites>FETCH-LOGICAL-c446t-f88c6b6a3c513f672002f5d7c7a634568d70c95208ad8d9d2ddfe069c6c887ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0301211510003519$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23448429$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20674132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stock, Sarah J</creatorcontrib><creatorcontrib>Goldsmith, Lesley</creatorcontrib><creatorcontrib>Evans, Margaret J</creatorcontrib><creatorcontrib>Laing, Ian A</creatorcontrib><title>Interventions to improve rates of post-mortem examination after stillbirth</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>Abstract Objective Despite recognition of the value of post-mortem examination following stillbirth, worldwide rates have declined since the early 1990s. There is a paucity of published evidence relating to factors that can improve post-mortem uptake. The aim of this study was to assess post-mortem rates following stillbirth and identify trends in the past 18 years that may have affected acceptance of the investigation. Study design Retrospective cohort study. Results Sharp declines in post-mortems coincided with publicity surrounding unlawful organ retention. Although nationally post-mortem rates have continued to fall, in our unit there was recovery in post-mortem rates. This increase was associated with implementation of policies to promote the uptake of perinatal post-mortem, including availability of specialist perinatal pathologists, education in the value of post-mortem, and senior staff involvement in counselling regarding the procedure. Conclusion The need to improve uptake of post-mortem examination following stillbirth is internationally recognized. The results of this study suggest that increased local availability of specialist perinatal pathologists, who can support education in the value of post-mortem, along with senior staff obtaining consent, may help achieve this goal.</description><subject>Autopsy</subject><subject>Autopsy - statistics & numerical data</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Counseling</subject><subject>Female</subject><subject>Fetal loss</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Intrauterine death</subject><subject>Medical sciences</subject><subject>Obstetrics and Gynecology</subject><subject>Perinatal mortality</subject><subject>Post-mortem</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Scotland - epidemiology</subject><subject>Stillbirth</subject><subject>United Kingdom - epidemiology</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi1ERbeFf4BQLohTFn_Fdi5IqAJaVKmHwtly7Ak4JPZie1f039fRLiBxwRdL1vPOjJ9B6CXBW4KJeDttYYrf0rCluD5hucWUPkEboiRtpej4U7TBDJOWEtKdo4ucJ1wPY_0zdE6xkJwwukGfb0KBdIBQfAy5KbHxyy7FAzTJFMhNHJtdzKVdYiqwNPDLLD6YFW7MWJNNLn6eB5_K9-fobDRzhhen-xJ9_fjhy9V1e3v36ebq_W1rORelHZWyYhCG2Y6wUUiKMR07J600gvFOKCex7TuKlXHK9Y46NwIWvRVWKTkYdoneHOvWOX_uIRe9-Gxhnk2AuM9aKol5V39aSX4kbYo5Jxj1LvnFpAdNsF4l6kkfJepVosZSV4k19urUYD8s4P6EflurwOsTYLI185hMsD7_5RjnitO-cu-OHFQdBw9JZ-shWHA-gS3aRf-_Sf4tYGcffO35Ax4gT3GfQlWtic5UY32_LnzdN1k33ZGePQILg6bq</recordid><startdate>20101201</startdate><enddate>20101201</enddate><creator>Stock, Sarah J</creator><creator>Goldsmith, Lesley</creator><creator>Evans, Margaret J</creator><creator>Laing, Ian A</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</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>7X8</scope></search><sort><creationdate>20101201</creationdate><title>Interventions to improve rates of post-mortem examination after stillbirth</title><author>Stock, Sarah J ; Goldsmith, Lesley ; Evans, Margaret J ; Laing, Ian A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-f88c6b6a3c513f672002f5d7c7a634568d70c95208ad8d9d2ddfe069c6c887ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Autopsy</topic><topic>Autopsy - statistics & numerical data</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Counseling</topic><topic>Female</topic><topic>Fetal loss</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Intrauterine death</topic><topic>Medical sciences</topic><topic>Obstetrics and Gynecology</topic><topic>Perinatal mortality</topic><topic>Post-mortem</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><topic>Scotland - epidemiology</topic><topic>Stillbirth</topic><topic>United Kingdom - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stock, Sarah J</creatorcontrib><creatorcontrib>Goldsmith, Lesley</creatorcontrib><creatorcontrib>Evans, Margaret J</creatorcontrib><creatorcontrib>Laing, Ian A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stock, Sarah J</au><au>Goldsmith, Lesley</au><au>Evans, Margaret J</au><au>Laing, Ian A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interventions to improve rates of post-mortem examination after stillbirth</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2010-12-01</date><risdate>2010</risdate><volume>153</volume><issue>2</issue><spage>148</spage><epage>150</epage><pages>148-150</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><coden>EOGRAL</coden><abstract>Abstract Objective Despite recognition of the value of post-mortem examination following stillbirth, worldwide rates have declined since the early 1990s. There is a paucity of published evidence relating to factors that can improve post-mortem uptake. The aim of this study was to assess post-mortem rates following stillbirth and identify trends in the past 18 years that may have affected acceptance of the investigation. Study design Retrospective cohort study. Results Sharp declines in post-mortems coincided with publicity surrounding unlawful organ retention. Although nationally post-mortem rates have continued to fall, in our unit there was recovery in post-mortem rates. This increase was associated with implementation of policies to promote the uptake of perinatal post-mortem, including availability of specialist perinatal pathologists, education in the value of post-mortem, and senior staff involvement in counselling regarding the procedure. Conclusion The need to improve uptake of post-mortem examination following stillbirth is internationally recognized. The results of this study suggest that increased local availability of specialist perinatal pathologists, who can support education in the value of post-mortem, along with senior staff obtaining consent, may help achieve this goal.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>20674132</pmid><doi>10.1016/j.ejogrb.2010.07.022</doi><tpages>3</tpages></addata></record> |
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| subjects | Autopsy Autopsy - statistics & numerical data Biological and medical sciences Cohort Studies Counseling Female Fetal loss Gynecology. Andrology. Obstetrics Humans Intrauterine death Medical sciences Obstetrics and Gynecology Perinatal mortality Post-mortem Pregnancy Retrospective Studies Scotland - epidemiology Stillbirth United Kingdom - epidemiology |
| title | Interventions to improve rates of post-mortem examination after stillbirth |
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