{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T04:55:57Z","timestamp":1781672157374,"version":"3.54.5"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Compassionate care from healthcare professionals is vital for parents following perinatal loss. Changes to maternity care during the COVID\u201019 pandemic affected perinatal loss care and illuminated the need for new responses. This study reports Australian findings from an international collaboration (PUDDLES) of seven countries investigating parents' experiences of care following perinatal loss during COVID\u201019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews were conducted with 15 mothers and 3 fathers who experienced stillbirth, neonatal death, or termination of pregnancy for medical reasons during the COVID\u201019 pandemic in Australia. Interviews were transcribed and analyzed using template analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>An overarching theme \u201cCompassionate care made up for a lot\u201d described the ways healthcare professionals' actions either mitigated or exacerbated parents' distress beyond the inherent suffering associated with their baby's death. Three themes within this overarching theme were identified: (1) \u201cEncountering a disrupted health system\u201d included parents' experiences of health services and provider responses to COVID\u201019; (2) \u201cExperiencing the loss\u2014immediate and defining moments\u201d captured how COVID\u201019\u2010related changes affected crucial moments around the time of the loss and its immediate aftermath; and (3) \u201cEntering a new level of isolation in the community\u201d described lack of aftercare and restricted support opportunities following hospital discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Healthcare professionals' actions matter deeply for families during a time of devastating loss, and perhaps even more so when this coincides with a health system crisis. Embedding conditions and structures for compassionate perinatal loss care is both possible and essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.70036","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T06:50:26Z","timestamp":1762930226000},"page":"379-387","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Compassionate Perinatal Loss Care Amid the\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic in Australia: A Qualitative Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1665-2137","authenticated-orcid":false,"given":"Frances M.","family":"Boyle","sequence":"first","affiliation":[{"name":"Centre of Research Excellence in Stillbirth The University of Queensland  Brisbane Australia"},{"name":"Institute for Social Science Research The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1410-675X","authenticated-orcid":false,"given":"Aditi","family":"Lohan","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth The University of Queensland  Brisbane Australia"},{"name":"Institute for Social Science Research The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Dean","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth The University of Queensland  Brisbane Australia"},{"name":"Institute for Social Science Research The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siobhan","family":"Loughnan","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Flenady","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio A.","family":"Silverio","sequence":"additional","affiliation":[{"name":"School of Life Course &amp; Population Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2020.102841"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0806-2"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12684"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2017.11.002"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17138"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm\u20102021\u20100441"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978\u2010021\u201001070\u20106"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u2010061550"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010021\u201004292\u20105"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06721-7"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.929350"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.2196\/38866"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13791"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2024.101622"},{"key":"e_1_2_12_16_1","volume-title":"The Compassionate Mind: A New Approach to the Challenge of Life","author":"Gilbert P.","year":"2009"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16866"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mnl.2021.03.004"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781473983304"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2014.955224"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103340"},{"issue":"1","key":"e_1_2_12_22_1","doi-asserted-by":"crossref","first-page":"123","DOI":"10.3917\/eslm.159.0123","article-title":"Vivre un D\u00e9c\u00e8s P\u00e9rinatal en Contexte de Pand\u00e9mie","volume":"159","author":"Montigny F.","year":"2023","journal-title":"\u00c9tudes sur la Mort"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102020\u2010046872"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103356"},{"key":"e_1_2_12_25_1","first-page":"1","article-title":"The Impact of the COVID\u201019 Pandemic on Women's Adjustment Following Pregnancy Loss","volume":"16","author":"Freedle A.","year":"2022","journal-title":"Journal of Loss and Trauma"},{"key":"e_1_2_12_26_1","unstructured":"Centre of Research Excellence in Stillbirth & Perinatal Society of Australia and New Zealand \u201cCare Around Stillbirth and Neonatal Death Clinical Practice Guideline \u201d (2024) https:\/\/learn.stillbirthcre.org.au\/."},{"key":"e_1_2_12_27_1","unstructured":"Health Service Executive \u201cNational Standards for Bereavement Care Following Pregnancy Loss and Perinatal Death \u201d Dublin (2022) https:\/\/www.hse.ie\/eng\/services\/list\/3\/maternity\/bereavement\u2010care\/bereavement%20care%20following%20pregnancy%20loss%20and%20perinatal%20death.pdf."},{"key":"e_1_2_12_28_1","volume-title":"Pregnancy Loss and the Death of a Baby: Guidelines for Professionals","author":"Sands","year":"2016"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2022.11.009"},{"key":"e_1_2_12_30_1","unstructured":"National Institute for Health and Care Excellence \u201cAntenatal Care \u201d NICE Guideline No. 201 (2021) https:\/\/www.nice.org.uk\/guidance\/ng201\/chapter\/recommendations#information\u2010and\u2010support\u2010for\u2010pregnant\u2010women\u2010and\u2010their\u2010partners."},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2021.08.024"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000703"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12546"},{"key":"e_1_2_12_34_1","unstructured":"Sands \u201cBereaved Parents' Experiences of Care Survey Report \u201d (2023) https:\/\/www.sands.org.uk\/sites\/default\/files\/Bereaved_Parents_Experience_of_Care_Report_2023_digital.pdf."},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14765"},{"issue":"3","key":"e_1_2_12_36_1","first-page":"88","article-title":"The Anatomy of Compassion: Courage, Connection and Safeness in Perinatal Practice","volume":"19","author":"Evans D.","year":"2023","journal-title":"Infant"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/6.7.469"},{"key":"e_1_2_12_38_1","first-page":"21","volume-title":"Long\u2010Term Memories: The Good, the Bad, and the Ugly","author":"Alberini C. M.","year":"2010"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.70036","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/birt.70036","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.70036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T04:39:08Z","timestamp":1781671148000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.70036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,11]]},"references-count":37,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/birt.70036"],"URL":"https:\/\/doi.org\/10.1111\/birt.70036","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,11]]},"assertion":[{"value":"2024-03-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}