Evidence map›Paper›PMID 30798293›Full record

ArticleBMJ open2019

PARENTS 2 Study: a qualitative study of the views of healthcare professionals and stakeholders on parental engagement in the perinatal mortality review-from 'bottom of the pile' to joint learning.

Danya Bakhbakhi, Christy Burden, Claire Storey, Alexander Edward Heazell, Mary Lynch, Laura Timlin, Katherine Gold, Dimitrios Siassakos

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.1field-weighted citation impact, top 19% of its field
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

16 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Verbal Information From Parents About Stillbirth: The VIPS Study (Phase One).The Australian & New Zealand journal of obstetrics & gynaecology · 2025
    Article
  8. Family Interviews Improve Health Service Recommendations in Mortality Review Process: A Mixed-Methods Assessment.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  9. Article
  10. Bereaved parents involvement in maternity hospital perinatal death review processes: 'Nobody even thought to ask us anything'.Health expectations : an international journal of public participation in health care and health policy · 2023
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. PARENTS 2 study: consensus report for parental engagement in the perinatal mortality review process.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 4 countries.

Danya BakhbakhiCentre for Academic Women's Health, University of Bristol, Bristol, UK.ORCID 0000-0003-1906-5069
Christy BurdenCentre for Academic Women's Health, University of Bristol, Bristol, UK.
Claire StoreyISA, International Stillbirth Alliance, Bristol, UK.
Alexander Edward HeazellMaternal and Fetal Health Research Centre, School of Medical Sciences, Faculty of Biological, Medicine and Health, University of Manchester, Manchester, UK.ORCID 0000-0002-4303-7845
Mary LynchCentre for Academic Women's Health, University of Bristol, Bristol, UK.
Laura TimlinCentre for Academic Women's Health, University of Bristol, Bristol, UK.
Katherine GoldDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Dimitrios SiassakosCentre for Academic Women's Health, University of Bristol, Bristol, UK.
Southmead Hospital · GBManchester Academic Health Science Centre · GBSands · GBUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEngaging bereaved parents in the review process that examines their care before and after a perinatal death might help parents deal with their grief more effectively and drive improvements in patient safety. The objective of this study is to explore whether healthcare professionals would accept or support parent engagement in the perinatal mortality review process.

designQualitative focus group interviews. Transcripts were analysed with an inductive thematic approach.

settingTwo geographically distinct tertiary maternity hospitals in the UK.

participantsFive focus groups were conducted with clinical staff including midwives, obstetricians, neonatologists, nursing staff and chaplaincy services.

resultsTwenty-seven healthcare professionals unanimously agreed that parents' involvement in the perinatal mortality review process is useful and necessary. Six key themes emerged including: parental engagement; need for formal follow-up; critical structure of perinatal mortality review meeting; coordination and streamlining of care; advocacy for parents including role of the bereavement care lead; and requirement for training and support for staff to enable parental engagement.

conclusionsHealthcare professionals strongly advocated engaging bereaved parents in the perinatal mortality review: empowering parents to ask questions, providing feedback on care, helping generate lessons and providing them with the opportunity to discuss a summary of the review conclusions with their primary healthcare professional contact. The participants agreed it is time to move on from 'a group of doctors reviewing notes' to active learning and improvement together with parents, to enable better care and prevention of perinatal death.

Indexed as

Attitude of Health PersonnelBereavementParentsPatient ParticipationPerinatal MortalityAdultCommunicationFemaleFocus GroupsHealth PersonnelHospice CareHospital-Patient RelationsHospitals, MaternityHumansInfant, NewbornInterviews as Topicneonatal deathneonatologyobstetricsperinatal mortality reviewqualitative researchstillbirth

Identifiers

PMID30798293
PMCPMC6278809
OpenAlexW2902693531

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.