PURPOSE:
This presentation shares key insights, learnings, and practical knowledge from a specialised midwifery-led perinatal loss clinic in a tertiary hospital in Brisbane, Australia. It highlights how individualised and culturally responsive continuity of care can transform outcomes for bereaved families and inform broader maternity care systems.

DISCUSSION:
While continuity of midwifery care is well-established in general maternity settings, structured models for bereaved families experiencing perinatal loss, especially into subsequent pregnancies, remain limited. Our clinic addresses this gap with a collaborative, midwifery-led model that integrates medical and psychosocial support to provide consistent, compassionate care across the perinatal loss continuum. Within five years, the service has expanded from two to over six clinical midwives, now providing support to more than 250 families each year. We offer comprehensive care from early pregnancy loss and antenatal palliative planning through to stillbirth, neonatal death, and pregnancy after loss. This continuity enables individualised care respecting each family's cultural, spiritual, and personal needs, guiding them through investigations and subsequent audit and multidisciplinary reviews. Embedded within a national research centre for stillbirth, the clinic also contributes to shaping research priorities, building clinician research capacity, and translating evidence into meaningful practice change. Key insights and learnings include: Continuity builds trust and affirms families in their role as parents throughout the journey. Evidence-based tools, including parent-friendly clinical guidelines, support informed, parent-centred decision-making. Memory-making is enriched through meaningful keepsakes like baby clothing, hand and footprints, and personalised mementos. Midwives benefit from supporting both loss and hope, promoting team wellbeing and sustainability. System investment reflects the model’s value, enabling expanded regional outreach.

EVIDENCE WHERE RELEVANT:
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KEY MESSAGE:
Continuity of care in complex perinatal loss contexts is both feasible and transformative. Sharing our experience contributes to a growing body of knowledge, offering a replicable model that delivers value for bereaved families, staff, and health systems. Poster session 2 (Group A)