Evidence map›Paper›PMID 39648790›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2025

Factors Contributing to Uptake of Stillbirth Evaluations: A Qualitative Analysis.

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

Abstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2025. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  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

8 authors.

Naomi O RichesDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0001-9815-6932
Tsegaselassie WorkalemahuDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0003-4571-9740
Erin P JohnsonDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Sarah LopezDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Nathan BlueDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Jessica PageDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Robert M SilverDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Erin RothwellDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah, USA.

Funding

Utah Center of Excellence in ELSI Research: UCEERRM1HG009037 · NHGRI · UNIVERSITY OF UTAH · PI ROTHWELL, ERIN, TABERY, JAMES · 2016 to 2024
$8.0M
NHGRI NIH HHS RM1 HG009037
6 · The paper itself

Abstract

objectiveThe purpose of this study was to explore individuals' beliefs, values, and experiences surrounding stillbirth evaluation decisions.

designQualitative research.

settingUniversity of Utah Health. POPULATION: Parents who experienced a stillbirth in the past 5 years (n = 19) were interviewed about their experiences and decision to consent to or decline stillbirth evaluations, such as autopsy, placental histopathology, or genetic testing.

methodsQualitative content analysis.

main outcome measuresBarriers and facilitators to parentsstillbirth postmortem decision-making.

resultsParticipants communicated several facilitators and barriers that contributed to their stillbirth evaluation decision. Reasons for consenting to evaluations were belief in science, background in medicine, altruism, to inform future pregnancies, thinking about preventing another stillbirth, and how patients viewed the care of their stillborn by the medical team. Reasons for declining evaluations were receiving a diagnosis prior to being offered a postmortem evaluation, intent to avoid causing further harm to the baby, interest to spend more time with their baby, and cost of the evaluation.

conclusionStillbirth is one of the most difficult experiences of a parent. Diagnostic and emotional barriers create further challenges to decision-making for stillbirth postmortem evaluations. Parents often rely on inadequate information and personal values and beliefs during this time-sensitive decision process. Decision support for stillbirth evaluations and training for medical providers could benefit parents, may increase stillbirth evaluation uptake, and potentially prevent decisional regret.

fundingResearch reported in this publication was supported by the Utah Centre for Excellence in ELSI Research (UCEER).

Indexed as

Decision MakingParentsStillbirthAdultAutopsyFemaleHumansMalePregnancyQualitative ResearchUtahfoetal autopsyfoetal deathgenetic testingplacental histologyshared decision‐makingstillbirth

Identifiers

PMID39648790
PMCPMC11879755

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.