Evidence map›Paper›PMID 31682025›Full record

ArticlePrenatal diagnosis2019

"The communication and support from the health professional is incredibly important": A qualitative study exploring the processes and practices that support parental decision-making about postmortem examination.

Celine Lewis, Megan Riddington, Melissa Hill, Charlotte Bevan, Jane Fisher, Lucy Lyas, Ann Chalmers, Owen J Arthurs, John C Hutchinson, Lyn S Chitty and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Prenatal diagnosis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  3. Review
  4. 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

11 authors at 6 institutions in 1 country.

Celine LewisNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID 0000-0001-7169-1521
Megan RiddingtonDepartment of Psychological Services, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Melissa HillNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID 0000-0003-3900-1425
Charlotte BevanStillbirth and neonatal death charity (Sands), London, UK.
Jane FisherAntenatal Results and Choices (ARC), London, UK.
Lucy LyasThe Lullaby Trust, London, UK.
Ann ChalmersChild Bereavement UK, Cheshire, UK.
Owen J ArthursDepartment of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
John C HutchinsonDepartment of Histopathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Lyn S ChittyNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID 0000-0002-4857-7138
Neil SebireDepartment of Histopathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Great Ormond Street Hospital · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBAntikor (United Kingdom) · GBCheshire West and Chester · GBLullaby Trust · GBSands · GB

Funding

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

Abstract

backgroundConsent rates for postmortem (PM) examination in the perinatal and paediatric setting have dropped significantly in the United Kingdom, the United States, and the Western Europe. We explored the factors that act as facilitators or barriers to consent and identified processes and practices that support parental decision-making.

methodsA qualitative study conducted with bereaved parents, parent advocates, and health care professionals in the United Kingdom. Analysis was conducted on 439 free-tect comments within a cross-sectional survey, interviews with a subset of 20 survey respondents and 25 health professionals, and a focus group with five parent advocates.

resultsThree broad parental decision-making groups were identified: 1, "Not open to postmortem examination"; 2, "Consent regardless of concerns"; and 3, "Initially undecided." Decisional drivers that were particularly important for this "undecided" group were "the initial approach," "adjustment and deliberation," "detailed discussion about the procedure," and "formal consent." The way in which these were managed by health care staff significantly impacted whether those parents' consented to PM, particularly for those who are ambivalent about the procedure.

conclusionsWe propose a set of recommendations to improve the way PM counselling and consent is managed. Adopting such measures is likely to lead to improved family experience and more consistent and high-quality discussion regarding PM.

Indexed as

AutopsyDecision MakingPerinatal DeathAdolescentAdultAgedFemaleHumansInfant, NewbornMaleMiddle AgedParentsQualitative ResearchYoung Adult

Identifiers

PMID31682025
PMCPMC6973141
OpenAlexW2984639905

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.