This page is for purchasing electronic copies of Sands’ Guidelines for Professionals. To order a hard copy or any other Sands products, please return to the Sands shop.

The following formats are available:

Which format should I buy?


A PDF file is a digital replica of a print document. No matter what device you look at the file on, each page will look exactly the same as if you had the paper-and-ink copy in your hand. What you see when you open the file is exactly what you’d see on the printed page.


Fixed layout EPUBs are a special kind of EPUB 3.0 that lets you view a two-page spread, which is not currently possible with “regular”, reflowable EPUB. You can search, add notes, highlighting etc. as with other EPUBs and, depending on which reader software you are using (e.g. iBooks), you may have access to a dictionary, thesaurus etc.

If you want to read the Sands Guidelines on a desktop computer:

To read the PDF you can use Acrobat Reader or any modern web browser (Chrome, Firefox, Safari…).
To read the EPUB you can use Adobe Digital Editions (available for Mac and PC) or iBooks (only for Mac).

If you want to read the Sands Guidelines on a tablet:

There are many apps that can read the PDF format (you probably already have one installed).
To read the EPUB format you will need an app that can read EPUB 3.0, such as iBooks app (for iPad), Gitden Reader app (for Android tablets) or the Adobe Digital Editions app.

Pregnancy loss and the death of a baby:

Guidelines for professionals 4th Edition

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 experience a childbearing loss.

This 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.

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