ArticleBMC pregnancy and childbirth2016
Evaluation of an international educational programme for health care professionals on best practice in the management of a perinatal death: IMproving Perinatal mortality Review and Outcomes Via Education (IMPROVE).
Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 48 citations in OpenAlex.
- Identifying Key Areas to Improve Care for Families Around the Time of Stillbirth or Neonatal Death: A Survey of Maternity Services in Australia.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Confidence and Care: Understanding Staff Needs in Supporting Families Through Pregnancy Loss in Gynaecological Settings.Nursing research and practice · 2026Article
- How obstetricians experience stillbirth and perinatal loss: a systematic review and meta-synthesis.AJOG global reports · 2025Review
- Identifying avoidable causes of perinatal deaths in a district hospital in Lesotho.Curationis · 2024Article
- Ending preventable stillbirths and improving bereavement care: a scorecard for high- and upper-middle income countries.BMC pregnancy and childbirth · 2023Article
- Identification of Clinician Training Techniques as an Implementation Strategy to Improve Maternal Health: A Scoping Review.International journal of environmental research and public health · 2023Article
- Experiences of obstetric nurses and midwives receiving a perinatal bereavement care training programme: A qualitative study.Frontiers in medicine · 2023Article
- Article
- Personality traits and stress coping among obstetricians diagnosing and communicating fetal death: A cross-sectional study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022Article
- Quality newborn care in East New Britain, Papua New Guinea: measuring early newborn care practices and identifying opportunities for improvement.BMC pregnancy and childbirth · 2022Article
- Facilitators and Strategies for Breaking the News of an Intrauterine Death-A Mixed Methods Study among Obstetricians.Journal of clinical medicine · 2021Article
- Implementation and evaluation of a quality improvement initiative to reduce late gestation stillbirths in Australia: Safer Baby Bundle study protocol.BMC pregnancy and childbirth · 2020Article
- Improving the quality of maternal and newborn care in the Pacific region: A scoping review.The Lancet regional health. Western Pacific · 2020Article
- Parents and clinicians: partners in perinatal bereavement research -experiences from the International Stillbirth Alliance Conference 2017.Research involvement and engagement · 2019Article
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Authors and funding
21 authors at 11 institutions in 6 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundStillbirths and neonatal deaths are devastating events for both parents and clinicians and are global public health concerns. Careful clinical management after these deaths is required, including appropriate investigation and assessment to determine cause (s) to prevent future losses, and to improve bereavement care for families. An educational programme for health care professionals working in maternal and child health has been designed to address these needs according to the Perinatal Society of Australia and New Zealand Guideline for Perinatal Mortality: IMproving Perinatal mortality Review and Outcomes Via Education (IMPROVE). The programme has a major focus on stillbirth and is delivered as six interactive skills-based stations. We aimed to determine participants' pre- and post-programme knowledge of and confidence in the management of perinatal deaths, along with satisfaction with the programme. We also aimed to determine suitability for international use.
methodsThe IMPROVE programme was delivered to health professionals in maternity hospitals in all seven Australian states and territories and modified for use internationally with piloting in Vietnam, Fiji, and the Netherlands (with the assistance of the International Stillbirth Alliance, ISA). Modifications were made to programme materials in consultation with local teams and included translation for the Vietnam programme. Participants completed pre- and post-programme evaluation questionnaires on knowledge and confidence on six key components of perinatal death management as well as a satisfaction questionnaire.
resultsOver the period May 2012 to May 2015, 30 IMPROVE workshops were conducted, including 26 with 758 participants in Australia and four with 136 participants internationally. Evaluations showed a significant improvement between pre- and post-programme knowledge and confidence in all six stations and overall, and a high degree of satisfaction in all settings.
conclusionsThe IMPROVE programme has been well received in Australia and in three different international settings and is now being made available through ISA. Future research is required to determine whether the immediate improvements in knowledge are sustained with less causes of death being classified as unknown, changes in clinical practice and improvement in parents' experiences with care. The suitability for this programme in low-income countries also needs to be established.
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