Interventions, outcomes and outcome measurement instruments in stillbirth care research: A systematic review to inform the development of a core outcome set


Bakhbakhi, Danya, Siassakos, Dimitrios, Davies, Anna, Merriel, Abi ORCID: 0000-0003-0352-2106, Barnard, Katie, Stead, Emma, Shakespeare, Clare, Duffy, James MN, Hinton, Lisa, McDowell, Karolina et al (show 4 more authors) (2023) Interventions, outcomes and outcome measurement instruments in stillbirth care research: A systematic review to inform the development of a core outcome set. BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 130 (6). pp. 560-576.

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Abstract

<h4>Background</h4>A core outcome set could address inconsistent outcome reporting and improve evidence for stillbirth care research, which have been identified as an important research priority.<h4>Objectives</h4>To identify outcomes and outcome measurement instruments reported by studies evaluating interventions after the diagnosis of a stillbirth.<h4>Search strategy</h4>Amed, BNI, CINAHL, ClinicalTrials.gov, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Embase, MEDLINE, PsycINFO, and WHO ICTRP from 1998 to August 2021.<h4>Selection criteria</h4>Randomised and non-randomised comparative or non-comparative studies reporting a stillbirth care intervention.<h4>Data collection and analysis</h4>Interventions, outcomes reported, definitions and outcome measurement tools were extracted.<h4>Main results</h4>Forty randomised and 200 non-randomised studies were included. Fifty-eight different interventions were reported, labour and birth care (52 studies), hospital bereavement care (28 studies), clinical investigations (116 studies), care in a multiple pregnancy (2 studies), psychosocial support (28 studies) and care in a subsequent pregnancy (14 studies). A total of 391 unique outcomes were reported and organised into 14 outcome domains: labour and birth; postpartum; delivery of care; investigations; multiple pregnancy; mental health; emotional functioning; grief and bereavement; social functioning; relationship; whole person; subsequent pregnancy; subsequent children and siblings and economic. A total of 242 outcome measurement instruments were used, with 0-22 tools per outcome.<h4>Conclusions</h4>Heterogeneity in outcome reporting, outcome definition and measurement tools in care after stillbirth exists. Considerable research gaps on specific intervention types in stillbirth care were identified. A core outcome set is needed to standardise outcome collection and reporting for stillbirth care research.

Item Type: Article
Uncontrolled Keywords: core outcome set, patient and public involvement, stillbirth, stillbirth care, systematic review
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 25 Jan 2023 08:20
Last Modified: 17 May 2023 11:16
DOI: 10.1111/1471-0528.17390
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3167805
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