Evidence map›Paper›PMID 37060683›Full record

ArticlePatient education and counseling2023

Creating a postmortem examination decision aid: Suggestions from bereaved parents of a stillborn.

Naomi O Riches, Tsegaselassie Workalemahu, Erin P Johnson, Robert M Silver, Sarah Lopez, Jessica Page, Brittney Sartori, Erin Rothwell

Abstract read
In one paragraph

Article in Patient education and counseling, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Factors Contributing to Uptake of Stillbirth Evaluations: A Qualitative Analysis.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  2. 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.

Naomi O RichesDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, 30N 1900 E, Suite 2B200, Salt Lake City, UT 84132, USA. Electronic address: n.riches@utah.edu.
Tsegaselassie WorkalemahuDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, 30N 1900 E, Suite 2B200, Salt Lake City, UT 84132, USA.
Erin P JohnsonDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, 30N 1900 E, Suite 2B200, Salt Lake City, UT 84132, USA.
Robert M SilverDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, 30N 1900 E, Suite 2B200, Salt Lake City, UT 84132, USA.
Sarah LopezDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, 30N 1900 E, Suite 2B200, Salt Lake City, UT 84132, USA.
Jessica PageDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, 30N 1900 E, Suite 2B200, Salt Lake City, UT 84132, USA; Department of Maternal Fetal Medicine, Intermountain Healthcare, 5063 S. Cottonwood St Ste 100, Murray, UT 84157, USA.
Brittney SartoriUniversity of Utah College of Nursing, 10 2000 E., Salt Lake City, UT 84112, USA.
Erin RothwellDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, 30N 1900 E, Suite 2B200, Salt Lake City, UT 84132, USA; University of Utah Interim Vice President for Research, 201 Presidents Circle, Rm 210, Salt Lake City, UT 84112, USA.

Funding

Utah Center of Excellence in ELSI Research: UCEERRM1HG009037 · NHGRI · UNIVERSITY OF UTAH · PI ROTHWELL, ERIN, TABERY, JAMES · 2016 to 2024
$8.0M
Vascular Health and Risk Factors in Children with Down SyndromeKL2TR002539 · NCATS · UNIVERSITY OF UTAH · PI MURTAUGH, MAUREEN A, NYGAARD, INGRID E · 2018 to 2022
$4.3M
NCATS NIH HHS KL2 TR002539NHGRI NIH HHS RM1 HG009037
6 · The paper itself

Abstract

objectivesTo understand the postmortem decision-making needs and preferences of parents of a stillborn.

methodsA qualitative content analysis was conducted. Patients who received stillbirth care at the University of Utah in the last 5 years, were 18 years of age or older, and English speakers, were invited to participate via an email and follow-up phone call. Participants were interviewed about their experiences, values, beliefs, decision-making experience regarding the postmortem examinations of their stillborn, and suggestions for how to assist their decision-making needs.

resultsNineteen participants who consented to one or more postmortem examination of their stillborn were interviewed. They expressed needing information, altruism, and/or a belief in science as reasons for consenting. The most common reason for declining was already knowing the stillbirth cause. Recommendations for a decision aid included a description of all stillbirth evaluation options, risks and benefits, and a timeline.

conclusionParticipants had a variety of reasons for consenting to or declining postmortem examinations of their stillborn. Recommendations for a decision aid include a full description of each examination, the risks and benefits, and a timeline. PRACTICAL IMPLICATIONS: An example decision aid was created from recommendations, which presents balanced information to help support couple's decision-making.

Indexed as

ParentsStillbirthAdolescentAdultAutopsyDecision Support TechniquesFemaleHumansPregnancyDecision aidFetal deathPostmortem examinations of stillbirth

Identifiers

PMID37060683
PMCPMC10184762

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Registered trials

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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.