Christine Andrews, Ashley Pade, Fran Boyle, Dan Richard Fernandez, Laura Singline, Ann Lancaster, David Alan Ellwood, Adrienne Gordon, Vicki J. Flenady
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The SBB aimed to normalise these conversations within the antenatal healthcare setting.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A qualitative interview study.</p>\n </section>\n \n <section>\n \n <h3> Setting</h3>\n \n <p>Maternity services in two states in Australia.</p>\n </section>\n \n <section>\n \n <h3> Population of Sample</h3>\n \n <p>Eighteen postnatal women and 22 healthcare professionals at services that participated in the SBB.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Qualitative study using semi-structured interviews analysed using a deductive approach to thematic analysis.</p>\n </section>\n \n <section>\n \n <h3> Main Outcome Measures</h3>\n \n <p>Themes identified around experiences of and attitudes towards antenatal care and conversations related to stillbirth risk and prevention.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Three key themes related to conversations about stillbirth in antenatal care were identified. First, ‘the importance of information that reassures and empowers’ through respectful communication, emphasising the ‘why’ of preventive actions, prioritising conversations over written information and positive framing. Second, ‘normalising sensitive conversations’ by reducing silence and stigma around stillbirth, having a standard way of doing things and shifting perceptions about the difficulty of raising this topic during pregnancy. Third, ‘steps towards respectful and supportive woman-centred care’ influence the efficacy and responsiveness of conversations through continuity of care and carer for trust-building and an ethos of addressing what matters most to women.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Integrating conversations about stillbirth into routine antenatal care is facilitated by the SBB. Key considerations for effective, woman-centred conversations about stillbirth include multidisciplinary collaboration, targeted HCP training and co-designed resources to promote open communication, reducing fragmentation of care and a strengths-based approach to discussing risk.</p>\n </section>\n \n <section>\n \n <h3> Trial Registration</h3>\n \n <p>Australian New Zealand Clinical Trials Registry database: ACTRN12619001777189 (16 December 2019)</p>\n </section>\n </div>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 12","pages":"1856-1865"},"PeriodicalIF":4.3000,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://obgyn.onlinelibrary.wiley.com/doi/epdf/10.1111/1471-0528.18330","citationCount":"0","resultStr":"{\"title\":\"Conversations About Stillbirth Risk in Routine Antenatal Care: A Qualitative Study Post-Implementation of the Safer Baby Bundle\",\"authors\":\"Christine Andrews, Ashley Pade, Fran Boyle, Dan Richard Fernandez, Laura Singline, Ann Lancaster, David Alan Ellwood, Adrienne Gordon, Vicki J. 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Conversations About Stillbirth Risk in Routine Antenatal Care: A Qualitative Study Post-Implementation of the Safer Baby Bundle
Objective
This study explores women's and healthcare professionals' experiences and attitudes towards stillbirth risk and prevention conversations following Safer Baby Bundle (SBB) implementation. The SBB aimed to normalise these conversations within the antenatal healthcare setting.
Design
A qualitative interview study.
Setting
Maternity services in two states in Australia.
Population of Sample
Eighteen postnatal women and 22 healthcare professionals at services that participated in the SBB.
Methods
Qualitative study using semi-structured interviews analysed using a deductive approach to thematic analysis.
Main Outcome Measures
Themes identified around experiences of and attitudes towards antenatal care and conversations related to stillbirth risk and prevention.
Results
Three key themes related to conversations about stillbirth in antenatal care were identified. First, ‘the importance of information that reassures and empowers’ through respectful communication, emphasising the ‘why’ of preventive actions, prioritising conversations over written information and positive framing. Second, ‘normalising sensitive conversations’ by reducing silence and stigma around stillbirth, having a standard way of doing things and shifting perceptions about the difficulty of raising this topic during pregnancy. Third, ‘steps towards respectful and supportive woman-centred care’ influence the efficacy and responsiveness of conversations through continuity of care and carer for trust-building and an ethos of addressing what matters most to women.
Conclusions
Integrating conversations about stillbirth into routine antenatal care is facilitated by the SBB. Key considerations for effective, woman-centred conversations about stillbirth include multidisciplinary collaboration, targeted HCP training and co-designed resources to promote open communication, reducing fragmentation of care and a strengths-based approach to discussing risk.
Trial Registration
Australian New Zealand Clinical Trials Registry database: ACTRN12619001777189 (16 December 2019)
期刊介绍：
BJOG is an editorially independent publication owned by the Royal College of Obstetricians and Gynaecologists (RCOG). The Journal publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. Its aim is to publish the highest quality medical research in women''s health, worldwide.
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