{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T06:41:42Z","timestamp":1773124902749,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["212731\/Z\/18\/Z"],"award-info":[{"award-number":["212731\/Z\/18\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2023,10,16]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                  <jats:title>Background and methodology<\/jats:title>\n                  <jats:p>UK clinical practices around managing pregnancy remains after pregnancy loss involve a process of documenting consent. Women are typically offered options for disposal, which may include cremation, burial, releasing for private arrangements, releasing to a funeral director and, in some cases, sensitive incineration. A single researcher conducted 20 months of ethnographic fieldwork in one National Health Service (NHS) Trust including observing the consenting process for pregnancy remains disposal (n=28) and interviewing 27\u2009women, including 19 who had experience of the consent process for pregnancy remains disposal, about their understanding, attitudes and experiences of pregnancy remains disposal. Transcripts were analysed for representative themes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Prior to the discussion and consenting process most participants had not given consideration to disposal methods. Participants expressed surprise about the discussion and disposal pathways with most suggesting it was inappropriate, particularly given the early stage of their pregnancy (&lt;12 weeks\u2019 gestation). In some cases, the consenting process caused distress due to the way the participant framed their pregnancy remains being divergent from implied meaning in discussions about disposal.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Current practices appear discordant with the views of some women experiencing miscarriage. A person-centred approach to pregnancy remains disposal is recommended to accommodate a diverse range of approaches so as not to challenge a woman\u2019s experience of and agency about her body, pregnancy and pregnancy remains.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2023-201982","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T00:43:54Z","timestamp":1704847434000},"page":"99-106","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Women\u2019s experiences of the consenting process for pregnancy remains disposal following early miscarriage"],"prefix":"10.1136","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8157-4425","authenticated-orcid":false,"given":"Susie","family":"Kilshaw","sequence":"first","affiliation":[{"name":"Department of Anthropology, University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,1,5]]},"reference":[{"key":"2025090511094627000_50.2.99.1","unstructured":"Human Tissue Authority (HTA) . Guidance on the disposal of pregnancy remains following pregnancy loss or termination. 2015. Available: https:\/\/www.hta.gov.uk\/guidanceprofessionals\/guidance-sector\/post-mortem\/guidance-sensitive-handlingpregnancy-remains"},{"key":"2025090511094627000_50.2.99.2","unstructured":"Royal College of Nursing (RCN) . 2018. Managing the disposal of pregnancy remains: RCN guidance for nursing and Midwifery practice Available: https:\/\/www.rcn.org.uk\/Professional-Development\/publications\/managing-the-disposal-of-pregnancy-remains-uk-pub-009-942"},{"key":"2025090511094627000_50.2.99.3","unstructured":"National Bereavement Care Pathway . Miscarriage, ectopic pregnancy and molar pregnancy: full guidance document. 2022. Available: https:\/\/nbcpathway.org.uk\/pathways\/miscarriage-bereavement-care-pathway"},{"key":"2025090511094627000_50.2.99.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.01.050"},{"key":"2025090511094627000_50.2.99.5","doi-asserted-by":"publisher","DOI":"10.1258\/147775006779151210"},{"key":"2025090511094627000_50.2.99.6","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2013-100849"},{"key":"2025090511094627000_50.2.99.7","doi-asserted-by":"crossref","first-page":"113835","DOI":"10.1016\/j.socscimed.2021.113835","article-title":"\"Why didn't we do it\u201d? Reproductive loss and the problem of post-mortem consent","volume":"276","author":"Reed","year":"2021","journal-title":"Soc Sci Med"},{"key":"2025090511094627000_50.2.99.8","unstructured":"McGuinness S , Kuberska K . Report to the Human Tissue Authority on disposal of pregnancy remains (less than 24 weeks\u2019 gestational stage); 2017. 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Further hierarchies of loss: tracking relationality in pregnancy loss experiences. Omega (Westport) 2023:302228231182273. doi:10.1177\/00302228231182273","DOI":"10.1177\/00302228231182273"},{"key":"2025090511094627000_50.2.99.15","doi-asserted-by":"crossref","first-page":"131","DOI":"10.53386\/nilq.v70i1.236","article-title":"Reproductive loss and disposal of pregnancy remains","volume":"70","author":"Austin","year":"2019","journal-title":"NILQ"},{"key":"2025090511094627000_50.2.99.16","doi-asserted-by":"crossref","unstructured":"Middlemiss AL . Invisible labours: the reproductive politics of second trimester pregnancy loss in England. New York, NY: Berghahn, 2024.","DOI":"10.1515\/9781805392118"},{"key":"2025090511094627000_50.2.99.17","unstructured":"Layne LL . Motherhood lost: a feminist account of pregnancy loss in America. New York, London: Routledge, 2003."},{"key":"2025090511094627000_50.2.99.18","unstructured":"McNiven A . 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