• Communication skills in Obstetrics: what can we learn from bereaved parents?

      Nuzum, D; Meaney, S; O’Donoghue, K (Irish Medical Journal, 2017-02)
      Communicating bad news in obstetrics is challenging. This study explores the impact of how bad news was communicated to parents following a diagnosis of stillbirth. Qualitative in-depth interviews were conducted with 12 mothers and 5 fathers, bereaved following stillbirth at a tertiary maternity hospital where the perinatal mortality rate is 5.2/1000. Data were analysed using Interpretative Phenomenological Analysis. How the diagnosis of stillbirth was communicated had a profound and lasting impact on parents. Dominant superordinate themes were Language used, Sensitivity and Diversionary techniques. Parents recalled in detail where and how bad news was broken and language used. Diversionary techniques created a sense of mistrust especially when parents felt information was being withheld. Bereaved parents valued privacy at the time of diagnosis of stillbirth.This study highlights the importance of language, sensitivity and environment where clinicians can learn from the experiences of bereaved parents who value open, sensitive and honest communication. The results of this study highlight the importance of patient-focused communication training for clinicians.
    • Neonatal Therapeutic Hypothermia in Ireland Annual Report 2016-2017

      Meaney, S; McGinley, J; Horkan, S; Corcoran, P; Greene, RA; Murphy, J; National Perinatal Epidemiology Centre Department of Obstetrics and Gynaecology University College Cork (National Perinatal Epidemiology Centre, 2018)
    • Oocyte Donation Pregnancies- Non-Disclosure of Oocyte Recipient Status to Obstetric Care Providers and Perinatal Outcomes.

      Geisler; Meaney, S; O’Donoghue, K; Waterstone, J (Irish Medical Journal, 2017-11)
      Oocyte donation pregnancies- non-disclosure of oocyte recipient (OR) status to obstetric care providers and perinatal outcomes.Many studies report a higher rate of pregnancy-induced hypertension (PIH) and severe pre-eclampsia (PET) in OR pregnancies. The objective is to determine the rates of non-disclosure of OR pregnancy to obstetric care providers and also the rates of perinatal complications.
    • Perinatal mortality in Ireland: annual report 2013

      Manning, E; Corcoran, P; Meaney, S; Greene, RA (National Perinatal Epidemiology Centre, Department of Obstetrics and Gynaecology, UCC, 2015)
      This is the third report of the national clinical audit on perinatal mortality in Ireland using the NPEC data collection tool and classification system. Anonymised data were reported by the 20 Irish maternity units on a total of 500 perinatal deaths occurring in 2013 arising from 69,146 births of at least 500g birthweight or at least 24 weeks gestation. Stillbirths, early neonatal and late neonatal deaths accounted for 301 (60.2%), 162 (32.4%) and 37 (7.4%) of the 500 deaths, respectively. The perinatal mortality rate was 6.7 per 1,000 births in 2013; corrected for congenital malformation, the rate was 4.4 per 1,000 births; the stillbirth rate was 4.4 per 1,000 births; and, the early neonatal death rate was 2.4 per 1,000 live births.
    • Women's experience of maternal morbidity: a qualitative analysis.

      Meaney, S; Lutomski, J E; O' Connor, L; O' Donoghue, K; Greene, R A (BMC Pregnancy and Childbirth, 2016-07)
      Maternal morbidity refers to pregnancy-related complications, ranging in severity from acute to chronic. In Ireland one in 210 maternities will experience a severe morbidity. Yet, how women internalize their experience of morbidity has gone largely unexplored. This study aimed to explore women's experiences of maternal morbidity.