Evidence map›Paper›PMID 38975046›Full record

ArticleAJOG global reports2024

LeAnn A Louis, Adu Appiah-Kubi, Ruth Owusu-Antwi, Thomas O Konney, Cheryl A Moyer, Emma R Lawrence

Abstract read
In one paragraph

Article in AJOG global reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

LeAnn A LouisDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI (Louis, Moyer, Lawrence).
Adu Appiah-KubiDepartment of Obstetrics and Gynecology, School of Medicine, University of Health and Allied Sciences, Volta Region, Ghana (Appiah-Kubi).
Ruth Owusu-AntwiSchool of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (Owusu-Antwi).
Thomas O KonneyDirectorate of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana (Konney).
Cheryl A MoyerDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI (Louis, Moyer, Lawrence).
Emma R LawrenceDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI (Louis, Moyer, Lawrence).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rates of maternal mortality are highest in low-resource settings. Family members are often involved in the critical periods surrounding a maternal death, including transportation to health centers and financial and emotional support during hospital admissions. Maternal death has devastating impacts on surviving family members, which are often overlooked and understudied. Objective: Our study aimed to explore the hospital experiences of family members surrounding a maternal death, and to define their access to and need for institutional and psychosocial support. Study Design: This mixed methods cross-sectional study was conducted at an urban tertiary hospital in Ghana. Maternal mortalities from June 2019 to December 2020 were identified using death certificates. Participants, defined as husbands or other heads of households in families affected by maternal mortality, were purposively recruited. An interview guide was developed using grounded theory. In-person semi-structured interviews were conducted in English or Twi to explore impacts of maternal mortality on family members, with a focus on hospital experiences. Surveys were administered on types of and needs for institutional support. Interviews were audio recorded, translated, transcribed, coded with an iteratively-developed codebook, and thematically analyzed. Survey data was descriptively analyzed. Results: Fifty-one participants included 26 husbands of the deceased woman, 5 parents, 12 siblings, and 8 second-degree relatives. Interviews revealed an overall negative hospital experience for surviving family members, who expressed substantial dissatisfaction and distress. Four themes regarding the hospital experience emerged from the interviews: 1) poor communication from healthcare workers and hospital personnel, which contributed to 2) limited understanding of the patient's clinical status, hospital course, and cause of death; 3) maternal death perceived as avoidable; and 4) maternal death perceived as unexpected and shocking. Survey data revealed that only 10% of participants were provided psychosocial support following the maternal death event, yet 93.3% of those who did not receive support desired this resource. Conclusion: The hospital experience was overall negative for family members and a lack of effective communication emerged as the root cause of this negative perception. Strategies to improve communication between healthcare providers and families are essential. In addition, there is an unmet need for formal mental health resources for families who experience a maternal death.

Indexed as

family memberglobal maternal healthhealthcare communicationhospital experiencematernal deathmaternal mortalitymental healthsub-Saharan Africa

Identifiers

PMID38975046
PMCPMC11225643

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LicenceCC BY-NC-ND
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Registered trials

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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.