title: Reaction on Twitter to a Cluster of Perinatal Deaths: A Mixed Method Study.
abstract: BACKGROUND
  Participation in social networking sites is commonplace and the micro-blogging site Twitter can be considered a platform for the rapid broadcasting of news stories.
  
  
  OBJECTIVE
  The aim of this study was to explore the Twitter status updates and subsequent responses relating to a number of perinatal deaths which occurred in a small maternity unit in Ireland.
  
  
  METHODS
  An analysis of Twitter status updates, over a two month period from January to March 2014, was undertaken to identify the key themes arising in relation to the perinatal deaths.
  
  
  RESULTS
  Our search identified 3577 tweets relating to the reported perinatal deaths. At the height of the controversy, Twitter updates generated skepticism in relation to the management of not only of the unit in question, which was branded as unsafe, but also the governance of the entire Irish maternity service. Themes of concern and uncertainty arose whereby the professional motives of the obstetric community and staffing levels in the maternity services were called into question.
  
  
  CONCLUSIONS
  Twitter activity provides a useful insight into attitudes towards health-related events. The role of the media in influencing opinion is well-documented and this study underscores the challenges that clinicians face in light of an obstetric media scandal. Further study to identify how the obstetric community could develop tools to utilize Twitter to disseminate valid health information could be beneficial.
authors.affiliation: National Perinatal Epidemiology CentreObstetrics and GynaecologyUniversity College CorkCorkIreland.|Pregnancy Loss Research GroupDepartment of Obstetrics and GynaecologyUniversity College CorkCorkIreland.
authors.forename: Sarah
authors.identifier: 0000-0003-2368-4153
authors.initials: S
authors.lastname: Meaney
authors.affiliation: Pregnancy Loss Research GroupDepartment of Obstetrics and GynaecologyUniversity College CorkCorkIreland.
authors.forename: Leanne
authors.identifier: 0000-0002-9062-7696
authors.initials: L
authors.lastname: Cussen
authors.affiliation: National Perinatal Epidemiology CentreObstetrics and GynaecologyUniversity College CorkCorkIreland.
authors.forename: Richard A
authors.identifier: 0000-0003-0247-523X
authors.initials: RA
authors.lastname: Greene
authors.affiliation: Pregnancy Loss Research GroupDepartment of Obstetrics and GynaecologyUniversity College CorkCorkIreland.
authors.forename: Keelin
authors.identifier: 0000-0002-4616-2887
authors.initials: K
authors.lastname: O'Donoghue
keywords: Twitter; health care services; infodemiology; infoveillance; maternity; perinatal death; social media