Asia-Pacific women's experiences of stillbirth: A metasynthesis of qualitative literature

Cheer, Karen

doi:10.1080/07399332.2015.1080261

Cited by 8 publications

(5 citation statements)

References 22 publications

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“…Like many LMICs, the Lao PDR healthcare system appears to be limited in its current capacity and capability to provide responsive care following stillbirth. Our key findings, especially in relation to limited data and review, lack of bereavement care for mothers and inadequate training and emotional support for healthcare providers, coincide with themes common to the small number of studies focused on care after stillbirth in LMICs [6][7][8].…”

Section: Discussionsupporting

confidence: 61%

“…Available evidence suggests major shortcomings in the bereavement care provided due to a lack of health system resources and adequately trained healthcare providers [7]. Similarly, a review of seven qualitative studies of women's lived experiences of stillbirth in Asia-Pacific countries concluded that health systems and health professionals are 'often at a loss' as to the most appropriate care [8].…”

Section: Introductionmentioning

confidence: 99%

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Stillbirth in Lao PDR: a healthcare provider perspective

Choummanivong

Karimi

Durham

et al. 2020

Global Health Action

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Background: Stillbirth is a major global concern. However, most research has been conducted in high-income countries. Understanding of the experience and management of stillbirth in low-middle income countries is needed. Objective: This qualitative study explored health professionals' experiences of providing stillbirth care in the Lao People's Democratic Republic, a lower-middle-income country in SouthEast Asia. Methods: In-depth interviews were conducted with 33 health professionals (doctors, midwives and nurses) and thematic analysis was undertaken. Results: All participants acknowledged stillbirth as a concern, but its incidence and causes were largely undocumented and unknown. A lack of training in managing stillbirth left health professionals often ill-equipped to support mothers and provide responsive care. Social stigma surrounds stillbirth, meaning mothers found limited support or opportunities to openly express their grief. Conclusions: Better awareness of stillbirth causes could promote more positive experiences for healthcare providers and parents and more responsive healthcare. This requires improved training for healthcare professionals and awareness raising in the wider community.

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Section: Discussionsupporting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Stillbirth in Lao PDR: a healthcare provider perspective

Choummanivong

Karimi

Durham

et al. 2020

Global Health Action

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“…In Ireland, a stillborn baby is defined as an infant born with no sign of life weighing 500 g or more and/or having a gestational age of 24 weeks or more. Research shows that parents experience distress and sadness as they grieve for their baby and it has been found that how parents are counselled following stillbirth has lifelong impact . From the early literature, it was recognized by the medical community that women who were bereaved by stillbirth would be distressed, but it was felt that it would be in the best interest of the woman to have another baby in order to help put the loss behind her .…”

Section: Introductionmentioning

confidence: 99%

Parents’ concerns about future pregnancy after stillbirth: a qualitative study

Meaney

Everard

Gallagher

et al. 2016

Health Expectations

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ObjectivesAs stillbirth has a devastating impact, it is imperative to understand the importance of clinical and emotional care after stillbirth and how it influences subsequent pregnancies. The aim of the study was to gain insight into the consideration and planning of a subsequent pregnancy by parents in the weeks following stillbirth.DesignA qualitative semi‐structured interview format was utilized. Interpretative phenomenological analysis was employed as the analytic strategy.Participants and settingThe recruitment strategy focused on couples whereby the parents of ten stillborn babies were contacted; however, five men declined to participate in the study. The final sample of 15 parents were all Irish: ten of whom were female and five of whom were male.ResultsFindings revealed two superordinate themes relating to a subsequent pregnancy after stillbirth: aspirations for future pregnancy and expectations of future care. Parents disclosed how the prospect of a subsequent pregnancy was daunting with fears about the potential loss of another child. Despite these fears, parents’ aspirations differed in the days following stillbirth; mothers wished to plan a future pregnancy while fathers were reluctant to consider any pregnancies. Parents were unsure of what to expect in terms of the level of care that would be provided to them in a subsequent pregnancy. Additional appointments at the maternity hospital were considered crucial to provide reassurance during a subsequent pregnancy.ConclusionsThese findings underscore the far‐reaching and contrasting effects of stillbirth on parents. These complex needs highlight the importance of the multidisciplinary team approach.

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“…The struggle of whether to disclose the IUFD or not is echoed in the literature by the grieving mothers who experienced emotional pain, shame and guilt (Gopichandran, Subramaniam & Kalsingh 2018 ; Keeble & Thorsteinsson 2018 ). Furthermore, they experience social isolation and exclusion from friends, loved ones and family (Brierley-Jones et al 2015; Cacciatore 2010 ; Cheer 2016 ; Thompson 2013 ).…”

Section: Introductionmentioning

confidence: 99%

The psychosomatic experiences of women who had intrauterine foetal death in rural South Africa

Kharivhe,

Maluleke,

Masutha

et al. 2023

Curationis

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Background: Intrauterine foetal death (IUFD) is a traumatic event leading to substantial grief reactions with a variety of experiences in an expectant woman. After delivery, these experiences have shown to impact the mother’s psychological well-being, where she experiences post-traumatic stress, sadness, anxiety and depression. The psychosomatic experiences before labour commenced are not known.Objectives: This study explored the psychosomatic (mind–body connection) experiences of women who had an IUFD before labour commenced in rural areas of Limpopo province, South Africa.Method: A qualitative approach with an explorative descriptive design was carried out among all 10 consented participants who were selected using a purposive sampling technique. The sample consisted of women who delivered an IUFD as reflected by the hospital register from the selected hospitals. Data were collected at the participants’ homes through in-depth individual interviews guided by one open-ended central question as follows, ‘Please share with me your experiences of IUFD before you went into labour’, and analysed using Tesch’s open coding method.Results: Two themes reflecting the psychosomatic (mind–body connection) experiences of women who had an IUFD emerged from the analysis. The themes are danger alerts and emotional responses.Conclusion: This qualitative study revealed that women could relate a lack of or decreased foetal movement as the danger alert or warning sign that the baby was in danger before labour commenced. Upon noticing that something was wrong with the baby, a message was sent to the women’s minds, which equally affected and activated their emotional dimensions. An investigation regarding the kind of support needed by women after being informed of an IUFD is recommended.

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Asia-Pacific women's experiences of stillbirth: A metasynthesis of qualitative literature

Cited by 8 publications

References 22 publications

Stillbirth in Lao PDR: a healthcare provider perspective

Stillbirth in Lao PDR: a healthcare provider perspective

Parents’ concerns about future pregnancy after stillbirth: a qualitative study

The psychosomatic experiences of women who had intrauterine foetal death in rural South Africa

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