An audit of healthcare professionals' knowledge regarding perinatal autopsy

Ir J Med Sci. 2019 May;188(2):583-585. doi: 10.1007/s11845-018-1907-x. Epub 2018 Sep 25.

Abstract

Background: Perinatal autopsy is one the most valuable investigations to ascertain the cause of death (Nijkamp et al., Seminars in Fetal & Neonatal Medicine. 22:167-175, 2017; Korteweg et al., AJOG 53, e1-12, 2012; Late Interuterine Death and Stillbirth' RCOG Green-top Guideline No.55, 2015). Discussions about perinatal autopsy can be difficult for parents and healthcare professionals. Perinatal staff need a good level of knowledge and understanding regarding perinatal autopsy in order to discuss the procedure with parents. This study aims to investigate healthcare professionals' knowledge regarding perinatal autopsy.

Methods: An audit conducted in a large teaching hospital using a questionnaire was developed and distributed to healthcare professionals in the hospital.

Results: Seventy healthcare professionals participated in the audit. Of those surveyed, 64% (n = 45) have discussed perinatal autopsy with a mother and the majority of healthcare professionals (67%) found this difficult. Self-reported levels of understanding were found to be low with just 10% reporting 'excellent understanding'.

Conclusions: The results of this audit highlight the need for further education among all healthcare professionals working with bereaved families.

Keywords: Autopsy; Perinatal death; Post-mortem; Stillbirth.

MeSH terms

  • Autopsy / methods*
  • Female
  • Health Personnel / standards*
  • Humans
  • Infant, Newborn
  • Knowledge
  • Male
  • Medical Audit
  • Perinatal Death
  • Stillbirth