文章基本信息

标题：Weeping in silence: community experiences of stillbirths in rural eastern Uganda
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作者：Juliet Kiguli ; Sarah Namusoko ; Kate Kerber 等
期刊名称：Global Health Action
印刷版ISSN：1654-9716
电子版ISSN：1654-9880
出版年度：2015
卷号：8
期号：0
DOI：10.3402/gha.v8.24011
语种：English
出版社：Taylor & Francis
摘要：Background: Stillbirths do not register amongst national or global public health priorities, despite large numbers and known solutions. Although not accounted in statistics – these deaths count for families. Part of this disconnect is that very little is known about the lived experiences and perceptions of those experiencing this neglected problem.Objective: This study aimed to explore local definitions and perceived causes of stillbirths as well as coping mechanisms used by families affected by stillbirth in rural eastern Uganda.Design: A total of 29 in-depth interviews were conducted with women who had a stillbirth (14), men whose wives experienced a stillbirth (6), grandmothers (4), grandfathers (1), and traditional birth attendants (TBAs) (4). Participants were purposively recruited from the hospital maternity ward register, with additional recruitment done through community leaders and other participants. Data were analysed using content analysis.Results: Women and families affected by stillbirth report pregnancy loss as a common occurrence. Definitions and causes of stillbirth included the biomedical, societal, and spiritual. Disclosure of stillbirth varies with women who experience consecutive or multiple losses, subject to potential exclusion from the community and even the family. Methods for coping with stillbirth were varied and personal. Ritual burial practices were common, yet silent and mainly left to women, as opposed to public mourning for older children. There were no formal health system mechanisms to support or care for families affected by stillbirths.Conclusion: In a setting with strong collective ties, stillbirths are a burden borne by the affected family, and often just by the mother, rather than the community as a whole. Strategies are needed to address preventable stillbirths as well as to follow up with supportive services for those affected.Keywords: stillbirth; pregnancy loss; Uganda; maternal health; postpartum depression; traditional birth attendants(Published: 31 March 2015)Citation: Glob Health Action 2015, 8: 24011 - http://dx.doi.org/10.3402/gha.v8.24011SPECIAL ISSUE: This paper is part of the Special Issue: Newborn health in Uganda. More papers from this issue can be found at http://www.globalhealthaction.net
关键词：Public Health; Global Health; Sociology; Community Health;stillbirth; pregnancy loss; Uganda; maternal health; postpartum depression; traditional birth attendants;Subclass RA