Background Recently the RCOG published Green-Top Guideline ‘Late Intrauterine Fetal Death & Stillbirth’.1 The North East has the highest adjusted mortality for stillbirth,2 therefore an audit of the parental care pathway following stillbirth was appropriate.
Objectives To establish whether all aspects of a DGH care pathway following stillbirth are being followed and to detect areas for improvement.
Method A retrospective audit of stillbirths at SRH from May 2008–June 2010. Data was collected against a proforma of 19 standards expected to be met in 100% of cases, regarding actions, advice and documentary evidence. Sample size=45.
Results The following standards were met in >90% of cases.
▶ Cytogenetic investigation other than Post Mortem (PM).
▶ ‘Chaplaincy visit’.
▶ Parental medical photography.
▶ Support group information for example, SANDS.
▶ Fetal lock of hair, hand/foot prints.
Only 55% were counselled about cytogenetic investigations by a consultant (or supervised SpR). In 91%, it was not documented whether the parental copy of the PM consent form was given. Support group leaflets were given to just 33%. Only 13% of patients were offered lactation suppression. Parental medical photography was unavailable at follow-up in 36%.
Conclusions 5 of the 19 standards are being met in >90% which is encouraging. Ensuring that parents are given their copy of the PM consent form is a key area for improvement, also documentation of the offer of lactation suppression, support group leaflets and ensuring that parental medical photographs are available for the follow-up appointment.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.