Evidence map›Paper›PMID 28190300›Full record

SynthesisBJOG : an international journal of obstetrics and gynaecology2018

Factors affecting uptake of postmortem examination in the prenatal, perinatal and paediatric setting.

C Lewis, M Hill, O J Arthurs, C Hutchinson, L S Chitty, N J Sebire

Abstract readSystematic Review
In one paragraph

Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Factors affecting uptake of postmortem examination in the prenatal, perinatal and paediatric setting.BJOG : an international journal of obstetrics and gynaecology · 2018
    Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. The current state of forensic imaging - post mortem imaging.International journal of legal medicine · 2025
    Review
  12. Factors Contributing to Uptake of Stillbirth Evaluations: A Qualitative Analysis.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  13. Article
  14. Self-Rated Competence of Ugandan Healthcare Workers to Obtain Informed Consent for Autopsy.The American journal of tropical medicine and hygiene · 2024
    Article
  15. Minimally invasive autopsy - endoscopic approach to post-mortem diagnostics.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Post-mortem perinatal imaging: what is the evidence?The British journal of radiology · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

C LewisNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
M HillNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
O J ArthursUCL Institute of Child Health, Great Ormond Street Institute of Child Health, London, UK.
C HutchinsonUCL Institute of Child Health, Great Ormond Street Institute of Child Health, London, UK.
L S ChittyNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
N J SebireUCL Institute of Child Health, Great Ormond Street Institute of Child Health, London, UK.

Funding

Department of Health CDF-2017-10-037Department of Health HTA/14/168/02Department of Health ICA-CDRF-2017-03-053Department of Health NIHR-CS-012-002
6 · The paper itself

Abstract

backgroundPostmortem examination is the single most useful investigation in providing information to parents about why their baby or child died. Despite this, uptake remains well below the recommended 75%.

objectiveTo address the question 'what are the barriers and motivators to perinatal, prenatal and paediatric PM examination?' SEARCH STRATEGY: Key databases including Pubmed and CINAHL; Cochrane library, websites of relevant patient organisations, hand search of key journals, first and last authors and references. SELECTION CRITERIA: Peer-reviewed qualitative, quantitative or mixed methods research examining factors affecting uptake or decline of perinatal or paediatric postmortem examination. DATA COLLECTION AND ANALYSIS: Narrative synthesis; findings were compared across studies to examine interrelations. MAIN

resultsSeven major themes describing barriers to postmortem uptake were identified: dislike of invasiveness, practicalities of the procedure, organ retention issues, protective parenting, communication and understanding, religion and culture and professional or organisational barriers. Six major themes related to factors which facilitated parental consent were identified: desire for information, contributing to research, coping and well-being, respectful care, minimally invasive options, and policy and practice. There were a number of themes in the literature that reflected best practice.

conclusionFindings highlight the need for better health professional education and the fact some concerns may be mitigated if less invasive methods of postmortem were routinely available. New consent packages and codes of practice may have a positive impact on perception of examination after death. The landscape is changing; further research is necessary to assess the impact on postmortem uptake rates. TWEETABLE ABSTRACT: Systematic review to explore the barriers and motivators to perinatal, prenatal and paediatric postmortem examination.

Indexed as

Cause of DeathHealth Services AccessibilityStillbirthAutopsyFemaleHumansPregnancyAutopsyconsentdecisionfetalpaediatricperinatalpostmortemqualitativesystematic review

Identifiers

PMID28190300
PMCPMC5763339

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.