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Text
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Citation List Month
June 2016 List
Dublin Core
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Title
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Factors Influencing The Uptake Of Neonatal Bereavement Support Services – Findings From Two Tertiary Neonatal Centres In The Uk
Publisher
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Bmc Palliative Care
Date
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2016
Subject
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Autopsy; Bereavement; England; Female; Humans; Infant; Infant Death; Infant Newborn; Intensive Care Units Neonatal; Male; Parents/psychology; Patient Acceptance Of Health Care/statistics & Numerical Data; Perinatal Care/utilization; Referral And Consultation/utilization; Social Support; Socioeconomic Factors; Stillbirth/psychology
Neonatal; Bereavement Follow Up; Death; Ethnicity; Socio-economic; Autopsy
Creator
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Jayanta Banerjee; Charanjit Kaur; Sridhar Ramaiah; Rahul Roy; Narendra Aladangady
Description
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Background
Research on perinatal bereavement services is limited. The aim of the study was to compare the uptake of bereavement support services between two tertiary neonatal units (NNU), and to investigate influencing factors.
Method
The medical and bereavement records of all neonatal deaths were studied from January 2006 to December 2011. Data collected included parent and baby characteristics, mode of death, consent for autopsy and bereavement follow-up. The categorical data were compared by chi-square or Fisher’s exact test and continuous data by Wilcoxon signed-rank test; a multivariable regression analysis was performed using STATA 12.0.
Results
The neonatal deaths of 297 babies (182 in NNU1 and 115 in NNU2) with full datasets were analysed. Baby characteristics were similar between units except for lower median gestational age in NNU1 (p = 0.03). Significantly more NNU1 parents were non-Caucasian (p < 0.01), from lower socio-economic status (p = 0.01) and had previous stillbirth/miscarriage (p = 0.03). More babies had care withdrawn in NNU2 (p < 0.01). A significantly higher proportion of parents from NNU1 (61 %) attended bereavement follow-up compared to NNU2 (34 %; p < 0.01).
On multivariable analysis, significantly more parents who were married or co-habiting (p = 0.02) and consented for an autopsy (p = 0.01) attended bereavement services.
Conclusion
Uptake of bereavement services varied between the two NNUs, which could be due to differences in the ethnic and socio-economic mix of the population. Significantly more parents who were married or co-habiting, or consented for autopsy, attended bereavement follow up services.
Identifier
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doi: 10.1186/s12904-016-0126-3
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Autopsy
Bereavement
Bereavement Follow Up
BMC Palliative Care
Charanjit Kaur
Death
England
Ethnicity
Female
Humans
Infant
Infant Death
Infant Newborn
Intensive Care Units Neonatal
Jayanta Banerjee
June 2016 List
Male
Narendra Aladangady
Neonatal
Parents/psychology
Patient Acceptance Of Health Care/statistics & Numerical Data
Perinatal Care/utilization
Rahul Roy
Referral And Consultation/utilization
Social Support
Socio-economic
Socioeconomic Factors
Sridhar Ramaiah
Stillbirth/psychology