Evidence map›Paper›PMID 40803959›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2025

Conversations About Stillbirth Risk in Routine Antenatal Care: A Qualitative Study Post-Implementation of the Safer Baby Bundle.

Christine Andrews, Ashley Pade, Fran Boyle, Dan Richard Fernandez, Laura Singline, Ann Lancaster, David Alan Ellwood, Adrienne Gordon, Vicki J Flenady

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PubMed Full text at PMC Publisher
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Christine AndrewsCentre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia.
Ashley PadeCentre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0009-0009-0244-3757
Fran BoyleCentre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0003-1665-2137
Dan Richard FernandezCentre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia.
Laura SinglineCentre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia.
Ann LancasterCentre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia.
David Alan EllwoodCentre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0003-4512-6443
Adrienne GordonCentre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia.
Vicki J FlenadyCentre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia.

Funding

Mater FoundationNational Health and Medical Research Council AP1116640National Health and Medical Research Council APP1169829National Health and Medical Research Council APP2010136
6 · The paper itself

Abstract

objectiveThis study explores women's and healthcare professionals' experiences and attitudes towards stillbirth risk and prevention conversations following Safer Baby Bundle (SBB) implementation. The SBB aimed to normalise these conversations within the antenatal healthcare setting.

designA qualitative interview study.

settingMaternity services in two states in Australia. POPULATION OF SAMPLE: Eighteen postnatal women and 22 healthcare professionals at services that participated in the SBB.

methodsQualitative study using semi-structured interviews analysed using a deductive approach to thematic analysis.

main outcome measuresThemes identified around experiences of and attitudes towards antenatal care and conversations related to stillbirth risk and prevention.

resultsThree key themes related to conversations about stillbirth in antenatal care were identified. First, 'the importance of information that reassures and empowers' through respectful communication, emphasising the 'why' of preventive actions, prioritising conversations over written information and positive framing. Second, 'normalising sensitive conversations' by reducing silence and stigma around stillbirth, having a standard way of doing things and shifting perceptions about the difficulty of raising this topic during pregnancy. Third, 'steps towards respectful and supportive woman-centred care' influence the efficacy and responsiveness of conversations through continuity of care and carer for trust-building and an ethos of addressing what matters most to women.

conclusionsIntegrating conversations about stillbirth into routine antenatal care is facilitated by the SBB. Key considerations for effective, woman-centred conversations about stillbirth include multidisciplinary collaboration, targeted HCP training and co-designed resources to promote open communication, reducing fragmentation of care and a strengths-based approach to discussing risk.

trial registrationAustralian New Zealand Clinical Trials Registry database: ACTRN12619001777189 (16 December 2019).

Indexed as

CommunicationPrenatal CareStillbirthAdultAttitude of Health PersonnelAustraliaFemaleHumansInterviews as TopicPregnancyQualitative Researchantenatal carepatient perspectivequalitative studystillbirthstillbirth prevention

Identifiers

PMID40803959
PMCPMC12501658

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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.