{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:59:17Z","timestamp":1792367957654,"version":"4.4.0"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,3,3]],"date-time":"2014-03-03T00:00:00Z","timestamp":1393804800000},"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":["BJOG"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the personal and professional impact of stillbirth on consultant obstetrician gynaecologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Semi\u2010structured in\u2010depth qualitative interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A tertiary university maternity hospital in <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>reland with a birth rate of <jats:italic>c<\/jats:italic>. 9000 per annum and a stillbirth rate of 4.6\/1000.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>Purposive sample of eight consultant obstetrician gynaecologists (50% of consultant obstetrician gynaecologists in the hospital).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured in\u2010depth interviews analysed by <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nterpretative <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>henomenological <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>nalysis. (<jats:styled-content style=\"fixed-case\">IPA<\/jats:styled-content>) <jats:styled-content style=\"fixed-case\">IPA<\/jats:styled-content> is a methodology for exploring human experience and its meaning for the individual.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The lived experiences, personal feelings and professional impact of stillbirth on consultant obstetrician gynaecologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Stillbirth was identified as amongst the most difficult experiences for consultants. Two superordinate themes emerged: the human response to stillbirth and the weight of responsibility. The human response to stillbirth was characterised by the personal impact of stillbirth for consultants and, in turn, how that shapes the care they provide. The weight of professional responsibility was characterised by the sense of professional burden and the possibility of a medico\u2010legal challenge\u2014mostly for those who are primarily gynaecologists resulting in the question \u2018what have I missed?\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite the impact of stillbirth, no consultant has received formal training in perinatal bereavement care. This study highlights a gap in training and the significant impact of stillbirth on obstetricians, professionally and personally. The provision of support, ongoing education, bereavement training and self\u2010care is recommended. Medico\u2010legal concerns following stillbirth potentially impact on care, warranting further research.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12695","type":"journal-article","created":{"date-parts":[[2014,3,3]],"date-time":"2014-03-03T11:53:48Z","timestamp":1393847628000},"page":"1020-1028","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":94,"title":["The impact of stillbirth on consultant obstetrician gynaecologists: a qualitative study"],"prefix":"10.1111","volume":"121","author":[{"given":"D","family":"Nuzum","sequence":"first","affiliation":[{"name":"Anu Research Centre Department of Obstetrics and Gynaecology University College Cork Cork University Maternity Hospital Wilton Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Meaney","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology Centre Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"O'Donoghue","sequence":"additional","affiliation":[{"name":"Anu Research Centre Department of Obstetrics and Gynaecology University College Cork Cork University Maternity Hospital Wilton Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,3,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2006.11.004"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/15524256.2011.593152"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1300\/J457v03n03_06"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(97)00127-9"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62232-5"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60107-4"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjom.2011.19.10.646"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/15325020802171268"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000452.pub2"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjom.2009.17.12.45550"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/00981380903158078"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.93.3.498"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.397"},{"key":"e_1_2_7_15_1","first-page":"187","volume-title":"Stillbirth: Prediction, Prevention and Management","author":"Silver RM","year":"2011"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31817d0582"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200507000-00005"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780880802314304"},{"key":"e_1_2_7_19_1","volume-title":"Interpretative Phenomonological Analysis: Theory, Method, Research","author":"Smith JA","year":"2009"},{"key":"e_1_2_7_20_1","volume-title":"Qualitative Psychology: A Practical Guide to Research Methods","author":"Smith JA","year":"2008"},{"key":"e_1_2_7_21_1","volume-title":"Pregnancy Loss and the Death of a Baby: Guidelines for Professionals","author":"Schott J","year":"2007"},{"key":"e_1_2_7_22_1","volume-title":"Clinical Indemnity Scheme Newsletter","author":"State Claims Agency","year":"2012"},{"key":"e_1_2_7_23_1","volume-title":"Ten Years of Maternity Claims","author":"NHS Litigation Authority","year":"2012"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.352"},{"key":"e_1_2_7_25_1","volume-title":"Investigation and Management of Late Fetal Intrauterine Death and Stillbirth","author":"Institute of Obstetricians and Gynaecologists RCoPoI, Directorate of Strategy and Clinical Programmes HSE","year":"2011"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12029"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-002237"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; 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