uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Weeping in silence: community experiences of stillbirths in rural eastern Uganda
Department of Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda.
Department of Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda.
Saving Newborn Lives program, Save the Children, Cape Town, South Africa.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). (Internationell barnhälsa och nutrition/Persson)
Show others and affiliations
2015 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 8, 24011Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2015. Vol. 8, 24011
Keyword [en]
stillbirth; pregnancy loss; Uganda; maternal health; postpartum depression; traditional birth attendants
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-251596DOI: 10.3402/gha.v8.24011ISI: 000377748800001PubMedID: 25843493OAI: oai:DiVA.org:uu-251596DiVA: diva2:806752
Funder
Sida - Swedish International Development Cooperation Agency
Available from: 2015-04-21 Created: 2015-04-21 Last updated: 2017-12-04Bibliographically approved

Open Access in DiVA

fulltext(361 kB)142 downloads
File information
File name FULLTEXT01.pdfFile size 361 kBChecksum SHA-512
3d3e1c89a7494426f348c538267fc44d604229a00347268a8196b8e12335e50d25fd0872fe70645224c6986d003b114d52bd2a237d7366ef507ee269fd676d15
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records BETA

Peterson, Stefan

Search in DiVA

By author/editor
Peterson, Stefan
By organisation
International Maternal and Child Health (IMCH)
In the same journal
Global Health Action
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 142 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 584 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf