"You First Break the News to the Relative": Stillbirth Bereavement Care Practices in Nigeria

“首先要将消息告知亲属”:尼日利亚的死产丧亲关怀实践

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Abstract

INTRODUCTION: Nigeria has one of the highest rates of stillbirth in the world. Existing research about the state of bereavement care continues to paint a bleak picture. This study explores the stillbirth bereavement care practices of Nigerian midwives. METHOD: Purposive sampling was employed to recruit a sufficient sample of 11 Nigerian midwives, who were subsequently interviewed using a semi-structured interview guide. Data were analyzed using the template analysis technique, which involved the use of a coding template to organize themes. RESULTS: Two main themes were identified: "Family-first, woman later" describes the practice of communicating stillbirth diagnoses to families before informing the woman; "Beliefs-driven care" describes the role of cultural values in facilitating some aspects of care, such as holistic care, while hindering other aspects such as memory-making. DISCUSSION: Cultural beliefs influence stillbirth bereavement care practices. Clear clinical guidelines are needed to support midwives in managing cultural issues associated with stillbirth bereavement.

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