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Underreporting of stillbirths in Pakistan: perspectives of the parents, community and healthcare providers

BMC pregnancy and childbirth, 2018-07, Vol.18 (1), p.302-302, Article 302 [Tạp chí có phản biện]

2018. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s). 2018 ;ISSN: 1471-2393 ;EISSN: 1471-2393 ;DOI: 10.1186/s12884-018-1924-9 ;PMID: 30012104

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Nhan đề:
Underreporting of stillbirths in Pakistan: perspectives of the parents, community and healthcare providers
Tác giả: Zakar, Muhammad Zakria ; Zakar, Rubeena ; Mustafa, Mudasir ; Jalil, Aisha ; Fischer, Florian
Chủ đề: Adult ; Attitude of Health Personnel ; Cause of death ; Childrens health ; Culture ; Data collection ; Developing countries ; Female ; Gestational health ; Humans ; Information systems ; Interviews ; LDCs ; Live Birth - epidemiology ; Live Birth - psychology ; Maternal & child health ; Maternal-Child Health Services - standards ; Maternal-Child Health Services - statistics & numerical data ; Methods ; Midwifery ; Mortality ; Mothers - psychology ; Needs Assessment ; Outcome Assessment (Health Care) - standards ; Outcome Assessment (Health Care) - statistics & numerical data ; Pakistan ; Pakistan - epidemiology ; Pregnancy ; Pregnancy Outcome - epidemiology ; Qualitative Research ; Social Perception ; Stillbirth ; Stillbirth - epidemiology ; Stillbirth - ethnology ; Stillbirth - psychology ; Stillbirths ; Underreporting ; Womens health
Là 1 phần của: BMC pregnancy and childbirth, 2018-07, Vol.18 (1), p.302-302, Article 302
Mô tả: Pakistan has the highest rate of stillbirths globally. Not much attention has been given so far to exploring the sociocultural factors hindering the reportage of stillbirths and the causes of death. Therefore, the aim of this study was to assess the perspectives of parents, communities and healthcare providers regarding the sociocultural practices and health system-related factors contributing to stillbirths and their underreporting. This study used a qualitative approach including in-depth interviews and 14 focus group discussions to collect data from four districts of Pakistan. We conducted 285 in-depth interviews and 14 focus group discussions with health professionals - mainly active in the areas of maternal and child health - and parents who had experienced stillbirth. Constant comparative method and analytical induction method were performed to analyze the data. The results of this study show that stillbirth is frequently misclassified and, therefore, an underreported phenomenon in Pakistan. It is an outcome of sociocultural practices, such as the social meaning of stillbirth and their understanding about the conflict between cultural and medical anatomy. In addition to grief and psychological distress, it endangers the maternal identity and worth in society in contrast to the mothers of live-born children. The misclassification of stillbirth, especially by healthcare providers, is a significant impediment to designing preventive strategies for stillbirth. We recommend that the reporting system for stillbirth should be aligned with the WHO definition of stillbirth to avoid its underreporting. Reporting procedures at a more administrative level need to be made uniform and simplified.
Nơi xuất bản: England: BioMed Central
Ngôn ngữ: English
Số nhận dạng: ISSN: 1471-2393
EISSN: 1471-2393
DOI: 10.1186/s12884-018-1924-9
PMID: 30012104
Nguồn: GFMER Free Medical Journals
MEDLINE
PubMed Central
Springer Nature OA/Free Journals
ROAD: Directory of Open Access Scholarly Resources
ProQuest Central
DOAJ Directory of Open Access Journals

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Underreporting of stillbirths in Pakistan: perspectives of the parents, community and healthcare providers

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