Evidence map›Paper›PMID 25843493›Full record

ArticleGlobal health action2015

Weeping in silence: community experiences of stillbirths in rural eastern Uganda.

Juliet Kiguli, Sarah Namusoko, Kate Kerber, Stefan Peterson, Peter Waiswa

Open access · goldAbstract read
In one paragraph

Article in Global health action, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
5.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 90 citations in OpenAlex.

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  11. Women's experiences of care after stillbirth and obstetric fistula: A phenomenological study in Kenya.Health expectations : an international journal of public participation in health care and health policy · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Juliet KiguliDepartment of Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda; jkiguli@musph.ac.ug.
Sarah NamusokoDepartment of Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda.
Kate KerberSaving Newborn Lives program, Save the Children, Cape Town, South Africa.
Stefan PetersonDepartment of Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda.
Peter WaiswaDepartment of Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda.
Makerere University · UGUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStillbirths 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.

objectiveThis 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.

designA 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.

resultsWomen 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.

conclusionIn 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.

Indexed as

BereavementAdaptation, PsychologicalAdultAgedAged, 80 and overDisclosureFemaleHumansMaleMaternal Health ServicesMiddle AgedParentsPregnancyRural PopulationStillbirthStress, Psychologicalmaternal healthpostpartum depressionpregnancy lossstillbirthtraditional birth attendantsUganda

Identifiers

PMID25843493
PMCPMC4385210
OpenAlexW2048168008

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.