Parents' descriptions of labouring with an antepartum fetal death: Findings from the Birthing in Grief study

BackgroundEvidence to guide intrapartum care when an unborn baby has died is limited.AimsTo explore parents' experiences of care during labour of an antepartum stillbirth.Materials and MethodsSemi-structured interviews with 18 bereaved parents from across Australia. Content analysis was conducted.FindingsTwo broad themes were identified: 'explaining every step' and 'helping us feel like parents.' Sub-themes under the first broad theme, 'explaining every step', were 'how and when information was given' and 'what happens next.' 'Like any other parent', 'feeling the pain' and 'everything is clouded' were sub-themes of the second broad theme. These findings mapped to current Australian clinical practice guidelines for bereavement care around stillbirth and neonatal death, ie good communication, recognition of parenthood, shared decision making and effective support.ConclusionsThis study on parents' experiences of labour with a fetal death in utero brings an important perspective to intrapartum care for this group. As far as we are aware, this study is the first to focus solely on this aspect of care. Our findings could be readily mapped to the four perinatal bereavement care goals. Parents wanted care providers to facilitate their choices, their sense of control, their autonomy and their agency. They wanted to feel that they had received the 'best' care available.

Automated summary

This study explores parents' experiences of care during labor of an antepartum stillbirth. The findings reveal that parents value detailed explanations of each step of the care process and being treated as any other parent. These findings align with current clinical practice guidelines, highlighting the importance of good communication, recognition of parenthood, shared decision making, and effective support.