Evidence map›Paper›PMID 35705910›Full record

ArticleBMC pregnancy and childbirth2022

"Your heart keeps bleeding": lived experiences of parents with a perinatal death in Northern Uganda.

Anna Agnes Ojok Arach, Juliet Kiguli, Victoria Nankabirwa, Noeline Nakasujja, David Mukunya, Milton W Musaba, Agnes Napyo, James K Tumwine, Grace Ndeezi, Joseph Rujumba

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. 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
    Article
  8. Review
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

10 authors at 4 institutions in 2 countries.

Anna Agnes Ojok ArachDepartment of Nursing and Midwifery, Faculty of Health Sciences, Lira University, Lira, Uganda. arachaa2000@gmail.com.
Juliet KiguliDepartment of Community Health and Behavioural Sciences, School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
Victoria NankabirwaDepartment of Epidemiology and Biostatistics, School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
Noeline NakasujjaDepartment of Psychiatry, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
David MukunyaDepartment of Community and Public Health, Busitema University Faculty of Health Sciences, Mbale, Uganda.
Milton W MusabaDepartment of Obstetrics and Gynaecology, Busitema University Faculty of Health Sciences, Mbale, Uganda.
Agnes NapyoDepartment of Community and Public Health, Busitema University Faculty of Health Sciences, Mbale, Uganda.
James K TumwineDepartment of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Grace NdeeziDepartment of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Joseph RujumbaDepartment of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Makerere University · UGBusitema University · UGLira Hospital · UGUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorldwide, two million babies are stillborn and 1.8 million babies die before completing seven days of life. Approximately 4% of pregnant women in Uganda experience perinatal death. The response following a perinatal death tends to be socio-culturally constructed. Investigating the unique personal experiences of parents from a low-income setting with unique cultural beliefs and practices is crucial for the design and implementation of appropriate interventions.

objectiveTo describe the lived experiences of parents following perinatal death in Lira district, Northern Uganda.

methodsA qualitative study was carried out drawing on the tenets of descriptive phenomenology. We conducted 32 in-depth interviews in Lira district, Northern Uganda between August 2019 and September 2020 with 18 women and 14 men who had experienced a stillbirth or an early neonatal death within the preceding 2 years. Participants were selected from different families and interviewed. A local IRB approved the study. All in-depth interviews were audio-recorded, transcribed, translated, and data were analysed using a content thematic approach. Key findings were discussed based on Worden's Four Tasks of Mourning theory.

resultsThe themes that emerged from the analyses included reaction to the perinatal loss and suggestions for support. The participants' immediate reactions were pain, confusion, and feelings of guilt which were aggravated by the unsupportive behaviour of health care providers. Men cumulatively lost financial resources in addition to facing multiple stressful roles. Delayed reactions such as pain and worries were triggered by the sight of similar-age-babies, subsequent pregnancy losses, and marital challenges. Participants recommended emotional support and management of postnatal complications for parents faced with perinatal loss.

conclusionLosing a baby during the perinatal period in a resource-constrained setting negatively affected both gender. In addition, men suffered the loss of financial resources and the burden of multiple stressful roles. Acknowledging the pain and offering support to the grieving parents reinforce their coping with a perinatal loss. In addition to family and community members, health care providers need to provide emotional support and postnatal care to parents who experience perinatal death.

Indexed as

Perinatal DeathFemaleHumansInfant, NewbornMalePainParentsPregnancyQualitative ResearchStillbirthUgandaEarly neonatal deathsExperiencesLived experiencesMenParentsPerinatal deathStillbirthsUgandaWomen

Identifiers

PMID35705910
PMCPMC9202140
OpenAlexW4282932997

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.