Social norms as possible causes of stillbirths

Noge, Sesi; Botma, Yvonne; Steinberg, Wilhelm Johannes

doi:10.1016/j.midw.2020.102823

Cited by 4 publications

(1 citation statement)

References 39 publications

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“…The findings from the present study overlapped with other studies from low-and middle-income countries like Pakistan (Ahmed et al, 2020) and South Africa (Noge et al, 2020) where the causes of stillbirths have also been attributed to superstitious beliefs such as ghosts and witchcraft. Similarly, this study supports the finding by Eklund et al (2020) in Denmark, Gola and Leichtentritt (2016) in Israel and Kalu (2019) in Nigeria that women cope with stillbirth by embedding the loss within a larger existential meaning.…”

Section: Discussionsupporting

confidence: 79%

Beliefs and strategies for coping with stillbirth: A qualitative study in Nigeria

Popoola¹,

Skinner²,

Woods³

2022

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Stillbirth, the loss of a baby during pregnancy or childbirth, is one of the most devastating losses a parent can experience. The experience of stillbirth is associated with trauma and intense grief, but mothers’ belief systems can be protective against the impacts of grief. Women in Nigeria endure a high burden of stillbirth and the aim in this study was to describe the beliefs and strategies for coping with stillbirth. Twenty mothers bereaved by stillbirth in Nigeria were interviewed; seven of them also participated in a focus group. The findings of the study revealed that the experience of stillbirth was influenced by beliefs which originated from superstitions, religion, and social expectations. These beliefs played significant roles in how mothers coped with the loss, by providing them with a framework for sense-making and benefit-finding.

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Section: Discussionsupporting

confidence: 79%

Beliefs and strategies for coping with stillbirth: A qualitative study in Nigeria

Popoola¹,

Skinner²,

Woods³

2022

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Impact of health literacy on pregnancy outcomes in socioeconomically disadvantaged and ethnic minority populations: A scoping review

Kim,

Heazell,

Whittaker

et al. 2024

Intl J Gynecology & Obste

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BackgroundHealth literacy, influenced by sociodemographic characteristics such as ethnicity, economic means and societal factors, affects the ways in which pregnant women maintain their health; this in turn may increase risk of adverse pregnancy outcomes.ObjectiveTo explore what is known about the impact of personal health literacy on prevention of stillbirth and related adverse outcomes in pregnant women of low socioeconomic status or from ethnic minority backgrounds.Search StrategyMEDLINE, CINAHL, PsychINFO, and CENTRAL were searched as well as reference lists of included studies and gray literature.Selection CriteriaIncluded studies focused on personal health literacy and stillbirth prevention in women from low socioeconomic or ethnic minority backgrounds in the perinatal period.Data Collection and AnalysisA meta‐summary approach was adopted for qualitative, observational, descriptive, and audit studies. Findings of intervention studies were extracted, and meta‐analyses were conducted where possible. The primary outcome was stillbirth; maternal mortality and neonatal mortality were secondary outcomes.Main ResultsForty‐one studies were included from diverse geographical settings. The meta‐summary synthesized five abstracted statements. These recognized lower personal health literacy and greater difficulty interacting with healthcare services in the studied populations, primarily as the result of limited health knowledge, lack of positive perception towards health services, language barriers, illiteracy, and relying on friends or family members for health information. Meta‐analysis of intervention studies revealed no association between current interventions that aimed to increase personal health literacy and the risk of stillbirth (relative risk [RR] 1.04, 95% confidence interval [CI] 0.96–1.12), neonatal mortality (RR 0.88, 95% CI 0.75–1.03), and maternal mortality (RR 0.87, 95% CI 0.63–1.22).ConclusionsVarious factors suggest lower personal health literacy in women of low socioeconomic status or ethnic minority, which can increase the risk of stillbirth. However, this review identified no significant impact of current health education interventions on the risk of stillbirth, or neonatal or maternal mortality. Although not directly measured, the health education interventions were anticipated to increase personal health literacy. Further research on the topic of this scoping review is warranted, particularly in lower‐resource settings and regarding the potential role of e‐literacy and organizational health literacy to improve pregnancy outcomes. To address deficits in health literacy, efforts must be made to provide pregnant women with health information in novel, accessible ways.

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Adverse perinatal outcomes and their associated determinants in Sub-Saharan Africa

Yahaya,

Adeyemo,

Kumah

2024

Journal of Medicine, Surgery, and Public Health

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Social norms as possible causes of stillbirths

Cited by 4 publications

References 39 publications

Beliefs and strategies for coping with stillbirth: A qualitative study in Nigeria

Beliefs and strategies for coping with stillbirth: A qualitative study in Nigeria

Impact of health literacy on pregnancy outcomes in socioeconomically disadvantaged and ethnic minority populations: A scoping review

Adverse perinatal outcomes and their associated determinants in Sub-Saharan Africa

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