Evidence map›Paper›PMID 41991707›Full record

ReviewArchives of gynecology and obstetrics2026

Psychosocial impact of maternal mortality on bereaved families and health care providers: what do we know?

Dana Alhaj, Selma Schmock, Lito-Laura Gerhold, Stephanie Wallwiener, Jarmila Zdanowicz, Claudia Hanson, Joachim Dudenhausen, Josefine Königbauer

Abstract readReview
In one paragraph

Review in Archives of gynecology and obstetrics, 2026. 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

8 authors.

Dana Alhaj *Department of Obstetrics, Charité-Universitätsmedizin Berlin, 10117, Berlin, Germany.
Selma Schmock *Department of Obstetrics, Charité-Universitätsmedizin Berlin, 10117, Berlin, Germany.
Lito-Laura GerholdDepartment of Obstetrics, Charité-Universitätsmedizin Berlin, 10117, Berlin, Germany.
Stephanie WallwienerDepartment of Obstetrics, Fetal Medicine University Hospital Halle (Saale), Halle, Germany.
Jarmila ZdanowiczDepartment of Obstetrics and Gynecology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Claudia HansonDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Joachim DudenhausenDepartment of Obstetrics, Charité-Universitätsmedizin Berlin, 10117, Berlin, Germany.
Josefine KönigbauerDepartment of Obstetrics, Charité-Universitätsmedizin Berlin, 10117, Berlin, Germany. josefine.koenigbauer@charite.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMaternal mortality remains a critical global health issue with profound psychosocial consequences that extend beyond the deceased woman to her family and the healthcare professionals (HCP) involved in her care. While substantial progress has been made in reducing maternal mortality worldwide, its social and psychological sequelae remain insufficiently studied, particularly in high-income countries.

methodsThis narrative review is based on a structured literature search conducted in PubMed and Google Scholar for studies published between 2000 and 2025. Study selection was guided by predefined inclusion criteria, and relevant articles were identified through keyword searches and snowballing. Data were extracted and analyzed using a narrative thematic approach focusing on psychosocial outcomes in families and HCP.

resultsThe available evidence, predominantly derived from qualitative and mixed-methods studies in low- and middle-income countries-especially sub-Saharan Africa-demonstrates consistent patterns of psychological distress, social disruption, and long-term adverse outcomes among affected families. Children are particularly vulnerable to educational, emotional, and economic disadvantages following maternal death. For HCP, particularly midwives, maternal mortality is associated with significant emotional burden, including guilt, grief, and professional self-doubt, as well as social and occupational consequences. DISCUSSION: Despite the global relevance of maternal mortality, there is a marked lack of data from high-income settings. Existing findings suggest that both families and HCP experience substantial and enduring psychosocial impacts, yet structured institutional support systems are often lacking.

conclusionMaternal mortality has far-reaching psychosocial consequences for families and HCP alike. The findings highlight the urgent need for targeted support interventions, structured training, and further research, particularly in high-income countries, to better understand and mitigate these effects.

Indexed as

BereavementFamilyHealth PersonnelMaternal MortalityDeveloping CountriesFemaleGriefHumansMaternal DeathPregnancyBereaved familiesChild health outcomesCoping strategiesGriefHealth care personnelMaternal deathMaternal mortalityMidwivesPost-traumatic stress disorderPsychosocial impact

Identifiers

PMID41991707
PMCPMC13086906

What OpenQuestion holds

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LicenceCC BY
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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.