Pregnancy Loss and the Death of a Baby: Guidelines for professionals  4th edition 

Order copies of the Sands Guidelines here.

Since the Sands Guidelines were first published in 1991, they have become widely recognised as an essential benchmark for good practice when caring for parents who have a childbearing loss.

The 4th edition of the Guidelines is based on research findings and on widespread discussions with health professionals, parents and voluntary organisations. It covers losses at any stage during pregnancy, including early and late miscarriage and termination for fetal anomaly, as well as stillbirth and care for very ill babies and those who are likely to die shortly after birth. As well as describing what constitutes good care, the Guidelines offer practical guidance on how to meet parents’ needs.

The Guidelines are available to purchase in hard copy or electronic format. Order copies of the Sands Guidelines here.

The 4th edition of the Guidelines has been endorsed by the following organisations:

  • ARC
  • BAPM
  • Bliss
  • BPAS
  • The Lullaby Trust
  • Cruse
  • The Ectopic Pregnancy Trust
  • CBUK
  • The Miscarriage Association
  • The Multiple Births Foundation
  • NHS Scotland
  • NHS Wales
  • Neonatal Nurses Association
  • Perinatal Institute
  • RcPath
  • RCGP
  • RCM
  • RCN
  • RCOG
  • Tamba
  • Tommy’s

‘NHS England welcomes this very comprehensive set of guidelines and it is right for maternity care providers to use it as a point of reference in delivering compassionate and effective bereavement care.’ Matthew Jolly, National Clinical Director for The Maternity Review and Women's Health, NHS England

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