Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country

Background. In developed countries, perinatal death is known to cause major emotional and social effects on mothers. However, little is known about these effects in low income countries which bear the brunt of perinatal mortality burden. This paper reports the impact of perinatal death on psychologi...

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Main Authors: Gausia, K., Moran, A., Ali, Mohammed, Ryder, D., Fisher, C., Koblinsky, M.
Format: Journal Article
Published: BioMed Central Ltd 2011
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/20463
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author Gausia, K.
Moran, A.
Ali, Mohammed
Ryder, D.
Fisher, C.
Koblinsky, M.
author_facet Gausia, K.
Moran, A.
Ali, Mohammed
Ryder, D.
Fisher, C.
Koblinsky, M.
author_sort Gausia, K.
building Curtin Institutional Repository
collection Online Access
description Background. In developed countries, perinatal death is known to cause major emotional and social effects on mothers. However, little is known about these effects in low income countries which bear the brunt of perinatal mortality burden. This paper reports the impact of perinatal death on psychological status and social consequences among mothers in a rural area of Bangladesh. Methods. A total of 476 women including 122 women with perinatal deaths were assessed with the Edinburgh Postnatal Depression Scale (EPDS-B) at 6 weeks and 6 months postpartum, and followed up for negative social consequences at 6 months postpartum. Trained female interviewers carried out structured interviews at women's home.Results. Overall 43% (95% CI: 33.7-51.8%) of women with a perinatal loss at 6 weeks postpartum were depressed compared to 17% (95% CI: 13.7-21.9%) with healthy babies (p = < 0.001). Depression status were significantly associated with women reporting negative life changes such as worse relationships with their husband (adjusted OR = 3.89, 95% CI: 1.37-11.04) and feeling guilty (adjusted OR = 2.61, 95% CI: 1.22-5.63) following the results of their last pregnancy outcome after 6 months of childbirth. Conclusions. This study highlights the greatly increased vulnerability of women with perinatal death to experience negative psychological and social consequences. There is an urgent need to develop appropriate mental health care services for mothers with perinatal deaths in Bangladesh, including interventions to develop positive family support.
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spelling curtin-20.500.11937-204632017-09-13T16:04:40Z Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country Gausia, K. Moran, A. Ali, Mohammed Ryder, D. Fisher, C. Koblinsky, M. social consequences Perinatal death postnatal depression rural women Bangladesh Background. In developed countries, perinatal death is known to cause major emotional and social effects on mothers. However, little is known about these effects in low income countries which bear the brunt of perinatal mortality burden. This paper reports the impact of perinatal death on psychological status and social consequences among mothers in a rural area of Bangladesh. Methods. A total of 476 women including 122 women with perinatal deaths were assessed with the Edinburgh Postnatal Depression Scale (EPDS-B) at 6 weeks and 6 months postpartum, and followed up for negative social consequences at 6 months postpartum. Trained female interviewers carried out structured interviews at women's home.Results. Overall 43% (95% CI: 33.7-51.8%) of women with a perinatal loss at 6 weeks postpartum were depressed compared to 17% (95% CI: 13.7-21.9%) with healthy babies (p = < 0.001). Depression status were significantly associated with women reporting negative life changes such as worse relationships with their husband (adjusted OR = 3.89, 95% CI: 1.37-11.04) and feeling guilty (adjusted OR = 2.61, 95% CI: 1.22-5.63) following the results of their last pregnancy outcome after 6 months of childbirth. Conclusions. This study highlights the greatly increased vulnerability of women with perinatal death to experience negative psychological and social consequences. There is an urgent need to develop appropriate mental health care services for mothers with perinatal deaths in Bangladesh, including interventions to develop positive family support. 2011 Journal Article http://hdl.handle.net/20.500.11937/20463 10.1186/1471-2458-11-451 BioMed Central Ltd fulltext
spellingShingle social consequences
Perinatal death
postnatal depression
rural women
Bangladesh
Gausia, K.
Moran, A.
Ali, Mohammed
Ryder, D.
Fisher, C.
Koblinsky, M.
Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title_full Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title_fullStr Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title_full_unstemmed Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title_short Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title_sort psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
topic social consequences
Perinatal death
postnatal depression
rural women
Bangladesh
url http://hdl.handle.net/20.500.11937/20463