The meaning of rituals after a stillbirth: A qualitative study of mothers with a stillborn baby

Tseng, Ying-Fen; Hsu, Min‐Tao; Hsieh, Yueh-Tzu; Cheng, Hsiu-Rong

doi:10.1111/jocn.14142

Cited by 26 publications

(23 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, maternal age both has [23,101], and has not [24,104], been found to be a significant predictor of grief. However, while the impact of cultural diversity is yet to be explored in men, cross-cultural studies with women highlight a range of culturally-specific understandings and practices relating to the loss of a baby that can impact upon grief [105][106][107][108][109]. Finally, social support and experiences with the healthcare system have been linked to both immediate grief and long-term psychological health for women [1,[110][111][112][113].…”

Section: Predictors Of Griefmentioning

confidence: 99%

Men’s grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model

Obst

Due

Oxlad

et al. 2020

BMC Pregnancy Childbirth

113

104

View full text Add to dashboard Cite

Background: Emotional distress following pregnancy loss and neonatal loss is common, with enduring grief occurring for many parents. However, little is known about men's grief, since the majority of existing literature and subsequent bereavement care guidelines have focused on women. To develop a comprehensive understanding of men's grief, this systematic review sought to summarise and appraise the literature focusing on men's grief following pregnancy loss and neonatal loss. Methods: A systematic review was undertaken with searches completed across four databases (PubMed, PsycINFO, Embase, and CINAHL). These were guided by two research questions: 1) what are men's experiences of grief following pregnancy/neonatal loss; and 2) what are the predictors of men's grief following pregnancy/neonatal loss? Eligible articles were qualitative, quantitative or mixed methods empirical studies including primary data on men's grief, published between 1998 and October 2018. Eligibility for loss type included miscarriage or stillbirth (by any definition), termination of pregnancy for nonviable foetal anomaly, and neonatal death up to 28 days after a live birth. Results: A final sample of 46 articles were identified, including 26 qualitative, 19 quantitative, and one mixed methods paper. Findings indicate that men's grief experiences are highly varied, and current grief measures may not capture all of the complexities of grief for men. Qualitative studies identified that in comparison to women, men may face different challenges including expectations to support female partners, and a lack of social recognition for their grief and subsequent needs. Men may face double-disenfranchised grief in relation to the pregnancy/neonatal loss experience. Conclusion: There is a need to increase the accessibility of support services for men following pregnancy/neonatal loss, and to provide recognition and validation of their experiences of grief. Cohort studies are required among varied groups of bereaved men to confirm grief-predictor relationships, and to refine an emerging socio-ecological model of men's grief.

show abstract

Section: Predictors Of Griefmentioning

confidence: 99%

Men’s grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model

Obst

Due

Oxlad

et al. 2020

BMC Pregnancy Childbirth

113

104

View full text Add to dashboard Cite

show abstract

“…In studies with women, findings are also inconsistent: involvement in religious activity and strength of religious faith have been inversely associated with grief in some studies [105,106] but not others [107], and similarly, maternal age both has [26,105], and has not [27,108], been found to be a significant predictor of grief. Studies of Somali [109], Tanzanian [110], Taiwanese [111], Romanian [112], and African-American [113] women following pregnancy/neonatal loss highlight a range of culturally-specific understandings and practices relating to the loss of a baby that can impact upon grief. Such cultural diversity is yet to be explored in men.…”

Section: Main Findings and Implicationsmentioning

confidence: 99%

Men’s grief following pregnancy loss and neonatal loss: A systematic review and emerging theoretical model

Obst

Due

Oxlad

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Emotional distress following pregnancy loss and neonatal loss is common, with enduring grief occurring for many parents. However, little is known about men’s grief, since the majority of existing literature and subsequent bereavement care guidelines have focused on women. To develop a comprehensive understanding of men’s grief, this systematic review sought to summarise and appraise the literature focusing on men’s experiences of grief following pregnancy loss and neonatal loss.Methods Systematic searches were completed across four databases (PsycINFO, PubMed, Embase and CINAHL), guided by two research questions: 1) what are men’s experiences of grief following pregnancy/neonatal loss; and 2) what are the predictors of men’s grief following pregnancy/neonatal loss? Eligible articles were qualitative, quantitative or mixed methods empirical studies including primary data on men’s grief, published between 1998 and October 2018. Eligibility for loss type included any definition of miscarriage or stillbirth, and neonatal death up to 28 days after a live birth.Results A final sample of 46 articles were identified, of which 26 were qualitative, 19 quantitative, and one mixed methods. Findings indicate that men’s grief experiences are highly varied, and current grief measures may not capture all of the complexities of grief for men. Qualitative studies identified that in comparison to women, men may face different challenges including expectations to support female partners, and a lack of social recognition for their grief and subsequent support needs. Men may face double-disenfranchised grief in relation to the pregnancy/neonatal loss experience.Conclusion To refine an emerging socio-ecological model of men’s grief, cohort studies are needed among varied groups of bereaved men to confirm grief-predictor relationships. There remains a need to promote genuine and consistent involvement of fathers as equal partners throughout pregnancy and childbirth. Likewise, engaging men early in the grief process is essential to providing recognition and validation to their experience, and improving awareness of available support services.

show abstract

“…The differences by ethnicity may be related to the relatively low numbers of Māori and Asian-non-Indian participants. However, there may also be inequities in access to information for pregnant Māori women 26 and cultural beliefs around pregnancy loss 27 28 that may affect information acquisition for Asian-non-Indian women. We speculate that the differences by marital status may be related to an unmeasured factor, such as disparities in levels of social support and health-related behaviours for women in a single or cohabitating relationship compared with married women.…”

Section: Discussionmentioning

confidence: 99%

Modification of maternal late pregnancy sleep position: a survey evaluation of a New Zealand public health campaign

et al. 2021

View full text Add to dashboard Cite

IntroductionA ‘Sleep-On-Side When Baby’s Inside’ public health campaign was initiated in New Zealand in 2018. This was in response to evidence that maternal supine going-to-sleep position was an independent risk factor for stillbirth from 28 weeks’ gestation. We evaluated the success of the campaign on awareness and modification of late pregnancy going-to-sleep position through nationwide surveys.Methods and analysisTwo web-based cross-sectional surveys were conducted over 12 weeks in 2019–2020 in a sample of (1) pregnant women ≥28 weeks, primary outcome of going-to-sleep position; and (2) health professionals providing pregnancy care, primary outcome of knowledge of going-to-sleep position and late stillbirth risk. Univariable logistic regression was performed to identify factors associated with supine going-to-sleep position.DiscussionThe survey of pregnant women comprised 1633 eligible participants. Going-to-sleep position last night was supine (30, 1.8%), non-supine (1597, 97.2%) and no recall (16, 1.0%). Supine position had decreased from 3.9% in our previous New Zealand-wide study (2012–2015). Most women (1412, 86.5%) had received sleep-on-side advice with no major resultant worry (1276, 90.4%). Two-thirds (918, 65.0%) had changed their going-to-sleep position based on advice, with most (611 of 918, 66.5%) reporting little difficulty. Supine position was associated with Māori (OR 5.05, 95% CI 2.10 to 12.1) and Asian-non-Indian (OR 4.20, 95% CI 1.27 to 13.90) ethnicity; single (OR 10.98, 95% CI 4.25 to 28.42) and cohabitating relationship status (OR 2.69, 95% CI 1.09 to 6.61); hospital-based maternity provider (OR 2.55, 95% CI 1.07 to 6.10); education overseas (OR 3.92, 95% CI 1.09 to 14.09) and primary-secondary level (OR 2.80, 95% CI 1.32 to 6.08); and not receiving sleep-on-side advice (OR 6.70, 95% CI 3.23 to 13.92). The majority of health professionals (709 eligible participants) reported awareness of supine going-to-sleep position and late stillbirth risk (543, 76.6%).ConclusionMost pregnant women had received and implemented sleep-on-side advice without major difficulty or concern. Some groups of women may need a tailored approach to acquisition of going-to-sleep position information.

show abstract

The meaning of rituals after a stillbirth: A qualitative study of mothers with a stillborn baby

Cited by 26 publications

References 29 publications

Men’s grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model

Men’s grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model

Men’s grief following pregnancy loss and neonatal loss: A systematic review and emerging theoretical model

Modification of maternal late pregnancy sleep position: a survey evaluation of a New Zealand public health campaign

Contact Info

Product

Resources

About