Stillbirth – a challenge for the 21st century

Heazell, Alexander

doi:10.1186/s12884-016-1181-8

Cited by 17 publications

(12 citation statements)

References 15 publications

(17 reference statements)

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“…A review of data in the Mother and Child Health hospital in Vientiane found while all deliveries should be recorded into a hardcopy logbook, logbooks were not always available and date of birth often limited to year of birth [21]. Our research also affirms other studies which suggest there is often confusion among healthcare providers regarding the classification of stillbirth [4,6,7,[21][22][23]. Another study in Lao PDR of five hospitals examined the causes and incidences of neonatal diseases and deaths also found inconsistency in documentation, a lack of differentiation between stillbirths with maceration and intrapartum stillbirths and the potential for some neonatal deaths to have been misclassified as stillbirth [23].…”

Section: Discussionsupporting

confidence: 71%

“…More information on stillbirth would provide more accurate information for advocacy and the development of policies and programmes to reduce stillbirth and provide the necessary support for mothers, their families and healthcare professionals. The ability to provide explanations for stillbirth could also assist in reducing the stigma associated with stillbirth reported in this research [7,22,26].…”

Section: Discussionmentioning

confidence: 98%

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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: 71%

Section: Discussionmentioning

confidence: 98%

Stillbirth in Lao PDR: a healthcare provider perspective

Choummanivong

Karimi

Durham

et al. 2020

Global Health Action

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“…Grief is a universal human reaction to the loss of a loved one, but social and cultural contexts influence the way grief is manifested and the coping strategies used (Brownlee & Oikonen, ; Dallay, ; Fenstermacher & Hupcey, ; Van & Meleis, ). Perinatal losses are still considered taboo losses and are made invisible by social and health environments and some parents consequently perceive a lack of social and health support (France, Hunt, Ziebland, & Wyke, ; Heazell, ). Furthermore, the literature supports the existence of a grief hierarchy (Kofod & Brinkmann, ; Van & Meleis, ), where grief expressions are accepted depending on the type of loss.…”

Section: Discussionmentioning

confidence: 99%

Multicultural coping experiences of parents following perinatal loss: A meta‐ethnographic synthesis

Fernández‐Basanta

Coronado

Movilla‐Fernández

2019

Journal of Advanced Nursing

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Aims To synthesize research findings regarding the coping experiences of parents following perinatal loss. Design Noblit and Hare's interpretive meta‐ethnography was followed. Data Sources A comprehensive systematic search of the published literature (2013–2018) was undertaken in five databases, complemented by supplementary searches. Review Methods Fourteen studies met the research objective and inclusion criteria. Results Five themes describe the coping strategies used by parents who experience perinatal loss. The themes were synthesized into the metaphor Staying afloat in the storm. Conclusion Parents use coping strategies to manage perinatal loss and the use of these strategies is conditioned by cultural, social, and individual factors. This study has implications for evidence‐based practice by showing care needs and the importance of implementing emotional and patient‐centred care interventions. Impact This meta‐ethnography highlights the care needs of parents following perinatal loss, facilitating understanding of coping experiences. Increased knowledge about these experiences may contribute to the development and implementation of nursing and midwifery interventions that include emotional and patient‐centred care.

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“…The majority of these losses occur in low and middle income countries [11]. However, pregnancy/neonatal loss also remains a significant health burden in high income countries, where despite advances in medical technologies, rates of stillbirth have remained stagnant for over two decades [12][13][14].…”

Section: Background and Contextmentioning

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

103

104

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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.

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Stillbirth – a challenge for the 21st century

Cited by 17 publications

References 15 publications

Stillbirth in Lao PDR: a healthcare provider perspective

Stillbirth in Lao PDR: a healthcare provider perspective

Multicultural coping experiences of parents following perinatal loss: A meta‐ethnographic synthesis

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

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