Arch Dis Child Fetal Neonatal Ed 96:Fa134 doi:10.1136/archdischild.2011.300157.39
  • BMFMS Pregnancy Outcome Posters

Parental care pathway after late fetal loss and stillbirth: an audit of cases in sunderland royal hospital over a 2-year period

  1. H M Cameron2
  1. 1Newcastle University, Newcastle-upon-Tyne, UK
  2. 2Sunderland Royal Hospital, Sunderland, UK


Background Recently the RCOG published Green-Top Guideline ‘Late Intrauterine Fetal Death & Stillbirth’.1 The North East has the highest adjusted mortality for stillbirth,2 therefore an audit of the parental care pathway following stillbirth was appropriate.

Objectives To establish whether all aspects of a DGH care pathway following stillbirth are being followed and to detect areas for improvement.

Method A retrospective audit of stillbirths at SRH from May 2008–June 2010. Data was collected against a proforma of 19 standards expected to be met in 100% of cases, regarding actions, advice and documentary evidence. Sample size=45.

Results The following standards were met in >90% of cases.


  • Cytogenetic investigation other than Post Mortem (PM).

  • ‘Chaplaincy visit’.

  • Parental medical photography.

  • Support group information for example, SANDS.

  • Fetal lock of hair, hand/foot prints.

Only 55% were counselled about cytogenetic investigations by a consultant (or supervised SpR). In 91%, it was not documented whether the parental copy of the PM consent form was given. Support group leaflets were given to just 33%. Only 13% of patients were offered lactation suppression. Parental medical photography was unavailable at follow-up in 36%.

Conclusions 5 of the 19 standards are being met in >90% which is encouraging. Ensuring that parents are given their copy of the PM consent form is a key area for improvement, also documentation of the offer of lactation suppression, support group leaflets and ensuring that parental medical photographs are available for the follow-up appointment.

Latest from Education & Practice

Latest from Education & Practice

Register for free content

Free sample
This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of ADC Fetal & Neonatal.
View free sample issue >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article