One of my more recent pubs...

Clinical Obstetrics & Gynecology:

September 2010 - Volume 53 - Issue 3 - pp 691-699

doi: 10.1097/GRF.0b013e3181eba1c6

Stillbirth: Patient-centered Psychosocial Care

CACCIATORE, JOANNE PhD, FT, LMSW

Arizona State University

Abstract

Evidence-based practice and patient-centered practice are not mutually exclusive clinical ideals. Instead, both styles hold tremendous potential for complementarity in healthcare and should be used to enhance clinical relationships in which caring is humble, mindful, and nuanced. The onus of the responsibility for many decisions about care after stillbirth falls on clinical staff. Yet, even in the dearth of literature exploring standards of care during stillbirth the results can be conflicting. Thus, research in both patient-centered and evidence-based approaches suggest that less emphasis should be placed on the standardization of care; rather, the focus should be on relational caregiving that underscores the uniqueness of each patient and their family, recognizes culture, and encourages affirmative, rather than traumatizing, provider reactions.