Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2019

Open Access 01-12-2019 | Autopsy | Research article

Low autopsy acceptance after stillbirth in a disadvantaged French district: a mixed methods study

Authors: Priscille Sauvegrain, Marion Carayol, Aurélie Piedvache, Esther Guéry, Martine Bucourt, Jennifer Zeitlin

Published in: BMC Pregnancy and Childbirth | Issue 1/2019

Login to get access

Excerpt

Stillbirth continues to be a major public health concern in high income countries as highlighted by recent international collaborations which have shown the need for more research and policy for prevention and support for parents experiencing stillbirth [1]. Furthermore, risks of stillbirth are marked by strong social and geographical inequalities [2]. Stillbirth rates in disadvantaged communities can be double those in more affluent areas [3, 4]. In general, stillbirth rates are higher for women with lower educational levels, income and also within migrant communities. Including women with these risk factors in research on prevention and bereavement care is therefore essential. …
Literature
1.
Heazell AE, Siassakos D, Blencowe H, Burden C, Bhutta ZA, Cacciatore J, et al. Stillbirths: economic and psychosocial consequences. Lancet. 2016;387(10018):604–16.CrossRef
2.
Zeitlin J, Mortensen L, Prunet C, Macfarlane A, Hindori-Mohangoo AD, Gissler M, et al. Socioeconomic inequalities in stillbirth rates in Europe: measuring the gap using routine data from the euro-Peristat project. BMC Pregnancy Childbirth. 2016;16:15. https://​doi.​org/​10.​1186/​s12884-016-0804-4.
3.
Saucedo M, Deneux-Tharaux C, Bouvier-Colle MH. Understanding regional differences in maternal mortality: a national case-control study in France. BJOG. 2012;119(5):573–81.CrossRef
4.
Pilkington H, Blondel B, Drewniak N, Zeitlin J. Choice in maternity care: associations with unit supply, geographic accessibility and user characteristics. Int J Health Geogr. 2012;11:35.CrossRef
5.
Porter HJ, Keeling JW. Value of perinatal necropsy examination. J Clin Pathol. 1987;40(2):180–4.CrossRef
6.
Saller DN Jr, Lesser KB, Harrel U, Rogers BB, Oyer CE. The clinical utility of the perinatal autopsy. Jama. 1995;273(8):663–5.CrossRef
7.
Gordijn SJ, Erwich JJ, Khong TY. Value of the perinatal autopsy: critique. Pediatr Dev Pathol. 2002;5(5):480–8.CrossRef
8.
Flenady V, Middleton P, Smith GC, Duke W, Erwich JJ, Khong TY, et al. Stillbirths: the way forward in high-income countries. Lancet (London, England). 2011;377(9778):1703–17.CrossRef
9.
Downe S, Kingdon C, Kennedy R, Norwell H, McLaughlin MJ, Heazell AE. Post-mortem examination after stillbirth: views of UK-based practitioners. Eur J Obstet Gynecol Reprod Biol. 2012;162(1):33–7.CrossRef
10.
Stock SJ, Goldsmith L, Evans MJ, Laing IA. Interventions to improve rates of post-mortem examination after stillbirth. Eur J Obstet Gynecol Reprod Biol. 2010;153(2):148–50.CrossRef
11.
Khong TY, Tanner AR. Foetal and neonatal autopsy rates and use of tissue for research: the influence of ‘organ retention’ controversy and new consent process. J Paediatr Child Health. 2006;42(6):366–9.CrossRef
12.
Lewis C, Hill M, Arthurs OJ, Hutchinson C, Chitty LS, Sebire NJ. Factors affecting uptake of postmortem examination in the prenatal, perinatal and paediatric setting. BJOG. 2018;125(2):172–81.CrossRef
13.
Flenady V, Wojcieszek AM, Middleton P, Ellwood D, Erwich JJ, Coory M, et al. Stillbirths: recall to action in high-income countries. Lancet. 2016;387(10019):691–702.CrossRef
14.
Huchon C, Deffieux X, Beucher G, Carcopino X, Costedoat-Chalumeau N, Delabaere A, Capmas P, Gallot V, Iraola E, Lavoue V, et al. Pregnancy losses: guidelines for clinical practice. Short text. J Gynecol Obstet Biol Reprod (Paris). 2014;43(10):918–28.CrossRef
15.
16.
17.
Branger B, Beringue F, Nomballais MF, Bouderlique C, Brossier JP, Savagner C, et al. Fetal and neonatal mortality from 22 weeks of amenorrhea in the Loire area. J Gynecol Obstet Biol Reprod (Paris). 1999;28(4):373–9.
18.
Jones F, Thibon P, Guyot M, Molin A, Jeanne-Pasquier C, Guillois B, et al. Practice of pathological examinations in stillbirths: a 10-year retrospective study. J Gynecol Obstet Hum Reprod. 2017;46(1):61–7.
19.
20.
Bucourt M, Papiernick E. Périnatalité en seine-Saint-Denis. Paris: Médecine-Sciences Flammarion; 1998.
21.
Draper E, Gallimore I, Kurinczuk J, Smith P, Boby T, Smith L, Manktelow B, Collaboration ObotM-U. MBRRACE-UK perinatal mortality surveillance report. UK perinatal deaths for births from January to December 2016. In: The infant mortality and morbidity studies. Leicester: Department of Health Sciences, University of Leicester; 2018. p. 2018.
22.
Lehner C, Harry A, Pelecanos A, Wilson L, Pink K, Sekar R. The feasibility of a clinical audit tool to investigate stillbirth in Australia - a single Centre experience. Aust N Z J Obstet Gynaecol. 2019;59(1):59–65.
23.
Warland J, O’Brien LM, Heazell AE, Mitchell EA. An international internet survey of the experiences of 1714 mothers with a late stillbirth: the STARS cohort study. BMC Pregnancy Childbirth. 2015;15:172.CrossRef
24.
Heazell AE, McLaughlin MJ, Schmidt EB, Cox P, Flenady V, Khong TY, et al. A difficult conversation? The views and experiences of parents and professionals on the consent process for perinatal postmortem after stillbirth. BJOG. 2012;119(8):987–97.CrossRef
25.
Ellis A, Chebsey C, Storey C, Bradley S, Jackson S, Flenady V, et al. Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences. BMC Pregnancy Childbirth. 2016;16:16.CrossRef
26.
Khong TY, Turnbull D, Staples A. Provider attitudes about gaining consent for perinatal autopsy. Obstet Gynecol. 2001;97(6):994–8.PubMed
27.
Breeze AC, Statham H, Hackett GA, Jessop FA, Lees CC. Perinatal postmortems: what is important to parents and how do they decide? Birth (Berkeley, Calif). 2012;39(1):57–64.CrossRef
28.
Sauvegrain P, Rico-Berrocal R, Zeitlin J. Why is perinatal and infant mortality high in the seine-Saint-Denis district? A consultation with healthcare providers using a Delphi process. J Gynecol Obstet Biol Reprod (Paris). 2016;45(8):908–17.CrossRef
29.
Davis GJ, Peterson BR. Dilemmas and solutions for the pathologist and clinician encountering religious views of the autopsy. Southern Med J. 1996;89(11):1041–4.CrossRef
30.
Rispler-Chaim V. The ethics of postmortem examinations in contemporary Islam. J Med Ethics. 1993;19(3):164–8.CrossRef
31.
Haider AH, Sexton J, Sriram N, Cooper LA, Efron DT, Swoboda S, et al. Association of unconscious race and social class bias with vignette-based clinical assessments by medical students. Jama. 2011;306(9):942–51.CrossRef
32.
Sauvegrain P. La santé maternelle des «Africaines» en Ile-de-France: Racisation des patientes et trajectoires de soins. Rev Eur Migr Int. 2012;28(2):81–100.CrossRef
33.
Gordijn SJ, Erwich JJ, Khong TY. The perinatal autopsy: pertinent issues in multicultural Western Europe. Eur J Obstet Gynecol Reprod Biol. 2007;132(1):3–7.CrossRef
34.
Cottreau C, McIntyre L, Favara BE. Professional attitudes toward the autopsy. A survey of clinicians and pathologists. Am J Clin Pathol. 1989;92(5):673–6.CrossRef
35.
Korteweg FJ, Erwich JJ, Timmer A, van der Meer J, Ravise JM, Veeger NJ, et al. Evaluation of 1025 fetal deaths: proposed diagnostic workup. Am J Obstet Gynecol. 2012;206(1):53 e51–12.CrossRef
36.
Arthurs OJ, Bevan C, Sebire NJ. Less invasive investigation of perinatal death. BMJ (Clinical research ed). 2015;351:h3598.
37.
Votino C, Bessieres B, Segers V, Kadhim H, Razavi F, Condorelli M, et al. Minimally invasive fetal autopsy using three-dimensional ultrasound: a feasibility study. Ultrasound Obstet Gynecol. 2014.
38.
Gorincour G, Sarda-Quarello L, Laurent PE, Brough A, Rutty GN. The future of pediatric and perinatal postmortem imaging. Pediatr Radiol. 2015;45(4):509–16.CrossRef
39.
Sarda-Quarello L, Tuchtan L, Bartoli C, Bourliere-Najean B, Petit P, Sigaudy S, et al. Post-mortem perinatal imaging: state of the art and perspectives, with an emphasis on ultrasound. Gynecol Obstet Fertil. 2015;43(9):612–5.CrossRef
40.
Sarda-Quarello L, Bartoli C, Laurent PE, Torrents J, Piercecchi-Marti MD, Sigaudy S, et al. Whole body perinatal postmortem CT angiography. Diagn Interv Imaging. 2016;97(1):121–4.CrossRef
41.
Kumar M, Singh A, Gupta U, Anand R, Thakur S. Relevance of labor room fetal autopsy in increasing its acceptance. J Matern Fetal Neonatal Med. 2015;28(3):344–9.CrossRef
42.
Metadata
Title
Low autopsy acceptance after stillbirth in a disadvantaged French district: a mixed methods study
Authors
Priscille Sauvegrain
Marion Carayol
Aurélie Piedvache
Esther Guéry
Martine Bucourt
Jennifer Zeitlin
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Autopsy
Published in
BMC Pregnancy and Childbirth / Issue 1/2019
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-019-2261-3

Other articles of this Issue 1/2019

BMC Pregnancy and Childbirth 1/2019 Go to the issue

Research article

Grand multiparity as a predictor of adverse pregnancy outcome among women who delivered at a tertiary hospital in Northern Tanzania

Research article

Prevalence of unwanted pregnancy among Iranian women: an updated meta-analysis

Research article

Mothers’ satisfaction with care during facility-based childbirth: a cross-sectional survey in southern Mozambique

Research article

What factors influence midwives to provide obstetric high dependency care on the delivery suite or request care be escalated away from the obstetric unit? Findings of a focus group study

Case report

A double dilemma: treatment of stage IV fetal twin-twin transfusion syndrome in the setting of maternal recurrent venous thromoembolism: a case report

Research article

Availability of health facilities and utilization of maternal and newborn postnatal care in rural Malawi