000			03045nam a22003737a 4500
003			OSt
005			20240305193740.0
008			221129b |||||||| |||| 00| 0 eng d
028			_b Phone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_bWebsite: www.bugando.ac.tz
040			_bEnglish _cDLC
041			_aEnglish
100			_aT Lavender _946197
245			_aExploring the impact of healthcare workers communication with women who have experienced stillbirth in Malawi, Tanzania and Zambia. A grounded theory study.
260			_aMwanza, Tanzania: _bEurope PMC Plus & _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] _c2022/4/16
490			_vWomen and Birth: Journal of the Australian College of Midwives
520			_a Abstract: Communication and interaction with healthcare workers at the time of stillbirth remain in parents' long-term memories and impact on emotional and psychological well-being. Cultural attitudes and norms influence how stillbirth is acknowledged and discussed in society. There is limited evidence on how women from sub-Saharan Africa became aware of the death of their babies. This research explored how women perceived the approach adopted by healthcare workers when the news of their stillbirth was disclosed to them. Grounded theory study. Women (n = 33) who had birthed a stillborn baby in the preceding 12 months were purposively sampled and participated in in-depth interviews (9 in Zambia, 16 in Tanzania and 8 in Malawi). Informed consent was gained from all participants. Data were analysed via a coding process using constant comparative analysis. Women sacrificed individualized and personal grieving strategies to conform and behave according to what was expected within their community. An overarching theme of cultural conformity overrides personal grief incorporated four sub-themes: perceiving something was wrong, the unexpected outcome, experience contrasting emotions, bonding with the baby. Most participants embarked on a negative 'emotion work' to adapt and suppress emotions and grief due to cultural expectations. Inability to voice the trauma of losing a baby may lead to perinatal mental health issues and needs addressing. Maternity healthcare workers should encourage women to express their feelings and grief. Appropriate training in perinatal bereavement care including good communication, appropriate attitudes and provision of meaningful information to grieving women is recommended
700			_aC Bedwell _946198
700			_a S Wakasiaka _946199
700			_a K Tuwele _946200
700			_a R Laisser _946201
700			_a H Shayo _946202
700			_aA Chimwaza _946203
700			_a M Mwamadi _946204
700			_a K Lyangenda _946205
700			_aFD Kuzenza _946206
700			_a D Kimaro _946207
700			_aCT Kasengele _946208
700			_aI Chisuse _946209
856			_uhttps://europepmc.org/article/med/35440427
942			_2ddc _cVM
999			_c19784 _d19784