CLASS – CiaoLapo Stillbirth Support Checklist


A – Respect
Aa – Baby
A1 Name the baby
A2 Touch, bath and dress the baby
A3 Take pictures
A4 Put the baby in a cot in the same room of the parents
Ab – Parents
A5 Use a recognisable symbol for the staff, to denote bereavement
A6 Acknowledge cultural, religious and spiritual needs of parents
A7 Make repeated offers for holding the baby
A8 Provide privacy (but not abandoning)
A9 Allow women to spend time with their partner (or person of choice) before and after birth
B -Information and Communication
Ba – Timing
B1 Discuss issues at most appropriate time
B2 Choose a quiet and private environment
B3 If the mother is unaccompanied, offer to contact the partner or a friend
Bb – Delivery of information
B4 Be clear, honest, and sensitive
B5 Repeat important information
B6 Assure parents that it is normal to feel uncomfortable
B7 Do not avoid questions
Bc – Mode of information
B8 Give written information
B9 Be comfortable showing emotions
B10 Answer questions honestly
B11 Listen to parents
B12 Do not argue with parents
Bd – Terminology
B13 Use parent-friendly language (simple and straightforward)
B14 Use sensitive terms (avoid dehumanising terms as ‘fetus’, ‘product of conception’ etc)
B15 Do not use medical jargon
Be – Burial and funeral services
B16 Inform parents on laws and regulations
B17 Provide parents help with funeral arrangements
Bf – Post-mortem examination
B18 Give verbal and written information on autopsy/histology
B19 Allow time for discussion issues regarding autopsy/histology
C – Birth options
Ca  -Timing
C1 Inform in advance parents of factors relating to birth (when, how, etc)
C2 Allow parents time to make appropriate decisions regarding birth
Cb – Mode of birth
C3 Offer parents choices in birthing options (when available)
C4 Offer parents the option of returning home (if possible)
C5 Always offer obstetric analgesia
C6 Avoid using sedation
D – Hospital stay
Da – Environment
D1 Offer parents the choice of the less distressing ward (possibly provide a private room)
D2 Always allow to spend time with the baby
Db – After-birth care
D3 Do not urge parents to leave the hospital
D4 Offer continuity of care
E – Creating memories
Ea – Spending time with baby
E1 Clearly explain parents the length of time they are allowed to spend with their baby
E2 Let the parents all the time they need to stay with the baby
E3 Always offer parents to see and hold the baby, but do not force them; discuss what is the best option for them
E4 Respect their wishes regarding seeing and holding the baby
E5 Prepare parents for the appearance of the baby
Eb – Parenting
E6 Allow parents to bath and dress their baby
E7 Allow siblings to spend time with the baby
Ec – Mementos
E8 Take pictures of the baby and keep them in the hospital
E9 Provide parents with mementos (lock of hair, hand and footprints, ID bracelet, cot card, pictures)
F – Aftercare
Fa – Spiritual / religious needs
F1 Allow parents to bless, baptize or perform any other religious ceremony for their baby
Fb – Maternal changes
F2 Inform mothers on milk production
F3 Offer a consultation with a lactation consultant
F4 Inform mothers on bleeding
F5 Inform mothers on psychological consequences of perinatal loss
F6 Provide a follow-up at 6 weeks post birth. Give name and number of the case manager
Fc – Support services
F7 Provide early psychological support
F8 Provide written information on support services (include fathers)
Fd -Follow-up
F9 Provide name and number of the case manager
F10 Provide an appointment with a senior obstetrician within 2 months
F11 Where possible, use rooms away from the hospital
F12 Give and explain results of post-mortem examinations
F13 Discuss implication for future pregnancies