{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:36:16Z","timestamp":1784896576992,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T00:00:00Z","timestamp":1582675200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To develop global consensus on a set of evidence\u2010based core principles for bereavement care after stillbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A modified policy\u2010Delphi methodology was used to consult international stakeholders and healthcare workers with experience in stillbirth between September 2017 and October 2018. Five sequential rounds involved two expert stakeholder meetings and three internet\u2010based surveys, including a global internet\u2010based survey targeted at healthcare workers in a wide range of settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Initially, 23 expert stakeholders considered 43 evidence\u2010based themes derived from systematic reviews, identifying 10 core principles. The global survey received 236 responses from participants in 26 countries, after which nine principles met a priori criteria for inclusion. The final stakeholder meeting and internet\u2010based survey of all participants confirmed consensus on eight core principles. Highest quality bereavement care should be enabled through training of healthcare staff to reduce stigma and establish respectful care, including acknowledgement and support for grief responses, and provision for physical and psychologic needs. Women and families should be supported to make informed choices, including those concerning their future reproductive health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Consensus was established for eight principles for stillbirth bereavement care. Further work should explore implementation and involve the voices of women and families globally.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13110","type":"journal-article","created":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T18:53:40Z","timestamp":1580756020000},"page":"137-147","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":58,"title":["The <scp>RESPECT<\/scp> Study for consensus on global bereavement care after stillbirth"],"prefix":"10.1002","volume":"149","author":[{"given":"Clare","family":"Shakespeare","sequence":"first","affiliation":[{"name":"Department of Women and Children's Health School of Population Health sciences Bristol Medical School The Chilterns Southmead Hospital University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abi","family":"Merriel","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health School of Population Health sciences Bristol Medical School The Chilterns Southmead Hospital University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danya","family":"Bakhbakhi","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health School of Population Health sciences Bristol Medical School The Chilterns Southmead Hospital University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Blencowe","sequence":"additional","affiliation":[{"name":"Maternal, Adolescent, Reproductive &amp; Child Health (MARCH) Centre London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances M.","family":"Boyle","sequence":"additional","affiliation":[{"name":"Stillbirth Centre for Research Excellence Mater Research Institute University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Flenady","sequence":"additional","affiliation":[{"name":"Stillbirth Centre for Research Excellence Mater Research Institute University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Gold","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Department of Obstetrics and Gynaecology University of Michigan  Ann Arbor MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dell","family":"Horey","sequence":"additional","affiliation":[{"name":"Stillbirth Centre for Research Excellence Mater Research Institute University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Lynch","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health School of Population Health sciences Bristol Medical School The Chilterns Southmead Hospital University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey A.","family":"Mills","sequence":"additional","affiliation":[{"name":"Division of Nursing, Midwifery and Social Work University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret M.","family":"Murphy","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Storey","sequence":"additional","affiliation":[{"name":"International Stillbirth Alliance  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Toolan","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health School of Population Health sciences Bristol Medical School The Chilterns Southmead Hospital University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Siassakos","sequence":"additional","affiliation":[{"name":"University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"RESPECT (Research of Evidence based Stillbirth care Principles to Establish global Consensus on respectful Treatment) working group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00837-5"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00836-3"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0800-8"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00954-X"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15430"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0806-2"},{"key":"e_1_2_8_8_1","unstructured":"National Bereavement Care Pathway for pregnancy and baby loss. Bereavement Care Standards.2018.http:\/\/www.nbcpa\u200bthway.org.uk\/file\/berea\u200bvement_care_stand\u200bards.pdf. Accessed Jan 10 2019."},{"key":"e_1_2_8_9_1","unstructured":"Health Service Executive.National Standards for Bereavement Care Following Pregnancy Loss and Perinatal Death.2016.https\u200b:\/\/www.hse.ie\/eng\/servi\u200bces\/list\/3\/mater\u200bnity\/berea\u200bvemen\u200btcare\/\u200bnatio\u200bnal-stand\u200bards-for-berea\u200bvement-care-follo\u200bwing-pregn\u200bancy-loss-and-perin\u200batald\u200beath.pdf. 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