{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T10:38:14Z","timestamp":1781174294750,"version":"3.54.1"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T00:00:00Z","timestamp":1610582400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T00:00:00Z","timestamp":1610582400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008406","name":"Faculty of Medical Sciences, Newcastle University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008406","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Bereavement from a twin pregnancy can result in complex emotions as parents are often caring for a surviving sibling while mourning the loss of their infant. Health professionals have reported feeling ill-equipped to deal with the specific needs of parents in this situation. Our aim was to ascertain the current knowledge, training needs and self-rated confidence of health professionals in providing support to parents who have experienced a loss from a twin pregnancy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We used an online survey, sent by email via professional organisations and clinical networks, to neonatal and fetal medicine doctors, neonatal nurses, and midwives. Respondents provided anonymous responses to questions on their experience of training and knowledge of existing guidelines, confidence in supporting parents and current practice in their hospital neonatal unit.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We received 293 responses. Less than half (47.3%) of respondents had received training for supporting parents and 62% felt more training and further guidelines were required. Less than a third of respondents reported having no or some confidence when providing emotional support to parents.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Current training and guidelines in the UK to support health professionals caring for parents who have experienced a loss from a twin pregnancy are inadequate. Guidelines for healthcare professionals who support parents experiencing the loss of a baby from a twin pregnancy are needed.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12884-021-03543-9","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T13:02:53Z","timestamp":1610629373000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Survey of UK health professionals supporting parents after loss from a twin pregnancy"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5355-454X","authenticated-orcid":false,"given":"Judith","family":"Rankin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Hayes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Embleton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,14]]},"reference":[{"key":"3543_CR1","doi-asserted-by":"crossref","unstructured":"Koopmans L, Wilson T, Cacciatore J, Flenady V. Support for mothers, fathers and families after perinatal death. Cochrane Database Syst Rev. 2013;6:1\u201322.","DOI":"10.1002\/14651858.CD000452.pub3"},{"issue":"1","key":"3543_CR2","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1186\/s12884-015-0579-z","volume":"15","author":"J Richards","year":"2015","unstructured":"Richards J, Graham R, Embleton ND, Campbell C, Rankin J. Mothers\u2019 perspectives on the perinatal loss of a co-twin: a qualitative study. BMC Preg Child. 2015;15(1):143.","journal-title":"BMC Preg Child"},{"key":"3543_CR3","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1038\/jp.2016.13","volume":"36","author":"J Richards","year":"2016","unstructured":"Richards J, Graham RH, Embleton ND, Rankin J. Health professionals\u2019 perspectives on bereavement following loss from a twin pregnancy: a qualitative study. J Perinatol. 2016;36:529.","journal-title":"J Perinatol"},{"key":"3543_CR4","volume-title":"IBM SPSS Statistics for Windows","author":"Corp. I","year":"2013","unstructured":"Corp. I. IBM SPSS Statistics for Windows. 22.0 ed. Armonk: IBM Corp; 2013.","edition":"22.0"},{"issue":"2","key":"3543_CR5","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/j.jpeds.2008.08.013","volume":"154","author":"S Jandial","year":"2009","unstructured":"Jandial S, Myers A, Wise E, Foster HE. Doctors likely to encounter children with musculoskeletal complaints have low confidence in their clinical skills. J Pediatr. 2009;154(2):267\u201371.","journal-title":"J Pediatr"},{"issue":"7\u20138","key":"3543_CR6","doi-asserted-by":"publisher","first-page":"1094","DOI":"10.1111\/j.1365-2702.2012.04272.x","volume":"22","author":"G MacConnell","year":"2013","unstructured":"MacConnell G, Aston M, Randel P, Zwaagstra N. Nurses\u2019 experiences providing bereavement follow-up: an exploratory study using feminist poststructuralism. J Clin Nurs. 2013;22(7\u20138):1094\u2013102.","journal-title":"J Clin Nurs"},{"key":"3543_CR7","doi-asserted-by":"publisher","first-page":"1405","DOI":"10.1590\/S0104-11692011000600018","volume":"19","author":"SM Pastor Montero","year":"2011","unstructured":"Pastor Montero SM, Romero S\u00e1nchez JM, Hueso Montoro C, Lillo Crespo M, Vacas Ja\u00e9n AG, Rodr\u00edguez Tirado MB. Experiences with perinatal loss from the health professionals perspective. Revista Latino-Americana de Enfermagem. 2011;19:1405\u201312.","journal-title":"Revista Latino-Americana de Enfermagem"},{"issue":"4","key":"3543_CR8","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1111\/j.1365-2702.2007.02007.x","volume":"17","author":"MF Chan","year":"2008","unstructured":"Chan MF, Lou F-l, Arthur DG, Cao F-l, Wu LH, Li P, et al. Investigating factors associate to nurses\u2019 attitudes towards perinatal bereavement care. J Clin Nurs. 2008;17(4):509\u201318.","journal-title":"J Clin Nurs"},{"issue":"2","key":"3543_CR9","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1177\/1054137315587644","volume":"24","author":"E Yin-Ling Tsui","year":"2016","unstructured":"Yin-Ling Tsui E, Hoi-Yan Chan C, Fong TA. Beyond professional competence:effect of equanimity on the professional quality of life among health-care professionals working in perinatal bereavement support. Illn Crisis Loss. 2016;24(2):88\u2013102.","journal-title":"Illn Crisis Loss"},{"key":"3543_CR10","first-page":"164","volume":"11","author":"L Hayes","year":"2015","unstructured":"Hayes L, Richards J, Crow L, Campbell C, Embleton ND, Rankin J. Development of guidelines for health professionals supporting parents who have lost a baby from a multiple pregnancy. Infant. 2015;11:164\u20136.","journal-title":"Infant"},{"key":"3543_CR11","unstructured":"NBCP Neonatal Death Bereavement Care Pathway, https:\/\/nbcpathway.org.uk\/sites\/default\/files\/2020-02\/Stillbirth%20Full%20Guidance_Jan%202020_0.pdf."},{"key":"3543_CR12","unstructured":"The Butterfly project: supporting parents who have lost a baby from a multiple pregnancy. Available from: www.neonatalbutterflyproject.org"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-021-03543-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12884-021-03543-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-021-03543-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T13:13:24Z","timestamp":1610630004000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-021-03543-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,14]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["3543"],"URL":"https:\/\/doi.org\/10.1186\/s12884-021-03543-9","relation":{},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,14]]},"assertion":[{"value":"5 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 January 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 January 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The project was a survey of current clinical practice and, thus did not require ethical approval as confirmed by the UK Health Research Authority decision tool (). Completion of the online survey by the participant was taken as written consent.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"58"}}