Parents' experiences of care and support after stillbirth in rural and urban maternity facilities : a qualitative study in Kenya and Uganda
© 2020 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists..
OBJECTIVE: To explore parents' lived experiences of care and support following stillbirth in urban and rural health facilities.
DESIGN: Qualitative, interpretative, guided by Heideggerian phenomenology.
SETTING: Nairobi and Western Kenya, Kampala and Central Uganda.
SAMPLE: A purposive sample of 75 women and 59 men who had experienced the stillbirth of their baby (≤1 year previously) and received care in the included facilities.
METHODS: In-depth interviews, analysed using Van Manen's reflexive approach.
RESULTS: Three main themes were identified; parents described devastating impacts and profound responses to their baby's death. Interactions with health workers were a key influence, but poor communication, environmental barriers and unsupportive facility policies/practices meant that needs were often unmet. After discharge, women and partners sought support in communities to help them cope with the death of their baby but frequently encountered stigma engendering feelings of blame and increasing isolation.
CONCLUSIONS: Parents in Kenya and Uganda were not always treated with compassion and lacked the care or support they needed after the death of their baby. Health workers in Kenya and Uganda, in common with other settings, have a key role in supporting bereaved parents. There is an urgent need for context and culturally appropriate interventions to improve communication, health system and community support for African parents.
TWEETABLE ABSTRACT: Health-system response and community support for parents after stillbirth in Kenya and Uganda are inadequate.
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:128 |
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| Enthalten in: |
BJOG : an international journal of obstetrics and gynaecology - 128(2021), 1 vom: 14. Jan., Seite 101-109 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mills, T A [VerfasserIn] |
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| Links: |
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| Themen: |
Bereavement |
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| Anmerkungen: |
Date Completed 11.01.2021 Date Revised 11.01.2021 published: Print-Electronic CommentIn: BJOG. 2021 Jan;128(1):110. - PMID 32770785 Citation Status MEDLINE |
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| doi: |
10.1111/1471-0528.16413 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a Parents' experiences of care and support after stillbirth in rural and urban maternity facilities |b a qualitative study in Kenya and Uganda |
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| 500 | |a Date Revised 11.01.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: BJOG. 2021 Jan;128(1):110. - PMID 32770785 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2020 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists. | ||
| 520 | |a OBJECTIVE: To explore parents' lived experiences of care and support following stillbirth in urban and rural health facilities | ||
| 520 | |a DESIGN: Qualitative, interpretative, guided by Heideggerian phenomenology | ||
| 520 | |a SETTING: Nairobi and Western Kenya, Kampala and Central Uganda | ||
| 520 | |a SAMPLE: A purposive sample of 75 women and 59 men who had experienced the stillbirth of their baby (≤1 year previously) and received care in the included facilities | ||
| 520 | |a METHODS: In-depth interviews, analysed using Van Manen's reflexive approach | ||
| 520 | |a RESULTS: Three main themes were identified; parents described devastating impacts and profound responses to their baby's death. Interactions with health workers were a key influence, but poor communication, environmental barriers and unsupportive facility policies/practices meant that needs were often unmet. After discharge, women and partners sought support in communities to help them cope with the death of their baby but frequently encountered stigma engendering feelings of blame and increasing isolation | ||
| 520 | |a CONCLUSIONS: Parents in Kenya and Uganda were not always treated with compassion and lacked the care or support they needed after the death of their baby. Health workers in Kenya and Uganda, in common with other settings, have a key role in supporting bereaved parents. There is an urgent need for context and culturally appropriate interventions to improve communication, health system and community support for African parents | ||
| 520 | |a TWEETABLE ABSTRACT: Health-system response and community support for parents after stillbirth in Kenya and Uganda are inadequate | ||
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| 650 | 4 | |a Bereavement | |
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| 700 | 1 | |a Nabisere, A |e verfasserin |4 aut | |
| 700 | 1 | |a Nendela, A |e verfasserin |4 aut | |
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