{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:45:45Z","timestamp":1791891945775,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T00:00:00Z","timestamp":1518480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Department of Health Policy Research Programme"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Most research on women experiencing stillbirth relies on online user group surveys or qualitative interviews. The objective of this study was to investigate the experience of women who are at a higher risk of stillbirth, living in areas of greatest deprivation, and are commonly not well represented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study used birth and death registrations in 2012\u20102013 to identify a sample of mothers whose babies had died as a result of stillbirth. These women were sent a survey 6\u20109\u00a0months after the stillbirth. We undertook descriptive analysis of quantitative data and used binary logistic regression with the Index of Multiple Deprivation as a measure of disadvantage. We used thematic analysis to describe free text responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The survey response rate was 30% (N\u00a0=\u00a0473). Ethnic minority, younger age, and single parenthood were associated with disadvantage. Women residents in the most deprived areas perceived care more negatively: during labor they were significantly less likely to be spoken to by medical staff so they could understand (73% compared with 90%, adjusted odds ratio [aOR] 0.33 [95% confidence interval {CI} 0.18\u20100.65]), or treated with respect by midwives (79% compared with 90%, aOR 0.41 [95% CI 0.22\u20100.77]). The qualitative themes identified were: \u201cDifficulty in accessing care,\u201d \u201cMore could have been done,\u201d \u201cIneffective communication,\u201d and \u201cCared for and not cared for\u201d which support the quantitative findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women living in the most deprived areas reported poorer experiences of care compared with more advantaged women. All women need compassionate and sensitive care around the time of a stillbirth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12335","type":"journal-article","created":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T09:42:39Z","timestamp":1518514959000},"page":"275-285","source":"Crossref","is-referenced-by-count":10,"title":["Care associated with stillbirth for the most disadvantaged women: A multi\u2010method study of care in England"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5506-3330","authenticated-orcid":false,"given":"Maggie","family":"Redshaw","sequence":"first","affiliation":[{"name":"Policy Research Unit in Maternal Health and Care National Perinatal Epidemiology Unit Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Henderson","sequence":"additional","affiliation":[{"name":"Policy Research Unit in Maternal Health and Care National Perinatal Epidemiology Unit Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00836-3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01278-7"},{"key":"e_1_2_6_4_1","unstructured":"ManktelowBN SmithLK SeatonSE et\u00a0al.MBRRACE\u2010UK Perinatal Mortality Surveillance Report. UK Perinatal Deaths for Births from January to December 2014. Leicester: Department of Health Sciences University of Leicester; 2016.https:\/\/www.npeu.ox.ac.uk\/mbrrace-uk\/reports. 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