{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T15:24:10Z","timestamp":1790954650109,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,8,16]],"date-time":"2020-08-16T00:00:00Z","timestamp":1597536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000325","name":"Wellbeing of Women","doi-asserted-by":"publisher","award":["IFA 200"],"award-info":[{"award-number":["IFA 200"]}],"id":[{"id":"10.13039\/501100000325","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore parents' lived experiences of care and support following stillbirth in urban and rural health facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative, interpretative, guided by Heideggerian phenomenology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Nairobi and Western Kenya, Kampala and Central Uganda.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>A purposive sample of 75 women and 59 men who had experienced the stillbirth of their baby (\u22641\u00a0year previously) and received care in the included facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In\u2010depth interviews, analysed using Van Manen's reflexive approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three main themes were identified; parents described devastating impacts and profound responses to their baby's death. Interactions with health workers were a key influence, but poor communication, environmental barriers and unsupportive facility policies\/practices meant that needs were often unmet. After discharge, women and partners sought support in communities to help them cope with the death of their baby but frequently encountered stigma engendering feelings of blame and increasing isolation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Parents in Kenya and Uganda were not always treated with compassion and lacked the care or support they needed after the death of their baby. Health workers in Kenya and Uganda, in common with other settings, have a key role in supporting bereaved parents. There is an urgent need for context and culturally appropriate interventions to improve communication, health system and community support for African parents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Tweetable Abstract<\/jats:title>\n                    <jats:p>Health\u2010system response and community support for parents after stillbirth in Kenya and Uganda are inadequate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.16413","type":"journal-article","created":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T14:39:17Z","timestamp":1594651157000},"page":"101-109","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Parents' experiences of care and support after stillbirth in rural and urban maternity facilities: a qualitative study in Kenya and Uganda"],"prefix":"10.1111","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2183-7999","authenticated-orcid":false,"given":"TA","family":"Mills","sequence":"first","affiliation":[{"name":"Division of Nursing, Midwifery and Social Work School of Health Sciences Faculty of Biology, Medicine and Health The University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Ayebare","sequence":"additional","affiliation":[{"name":"Department of Nursing College of Health Sciences Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Mukhwana","sequence":"additional","affiliation":[{"name":"Lugina Africa Midwives Research Network (LAMRN) Kenya C\/O University of Nairobi Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Mweteise","sequence":"additional","affiliation":[{"name":"Department of Nursing College of Health Sciences Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Nabisere","sequence":"additional","affiliation":[{"name":"Department of Nursing College of Health Sciences Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Nendela","sequence":"additional","affiliation":[{"name":"Lugina Africa Midwives Research Network (LAMRN) Kenya C\/O University of Nairobi Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Ndungu","sequence":"additional","affiliation":[{"name":"NIHR Global Health Group Community Involvement and Engagement (CEI) Group Kenya C\/O LAMRN Kenya University of Nairobi Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Okello","sequence":"additional","affiliation":[{"name":"NIHR Global Health Group Community Involvement and Engagement (CEI) Group Uganda Bweyogerere, Wakiso Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Omoni","sequence":"additional","affiliation":[{"name":"School of Nursing Sciences University of Nairobi Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Wakasiaka","sequence":"additional","affiliation":[{"name":"School of Nursing Sciences University of Nairobi Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Wood","sequence":"additional","affiliation":[{"name":"Division of Nursing, Midwifery and Social Work School of Health Sciences Faculty of Biology, Medicine and Health The University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Lavender","sequence":"additional","affiliation":[{"name":"Division of Nursing, Midwifery and Social Work School of Health Sciences Faculty of Biology, Medicine and Health The University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)00275-2"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00836-3"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2012.09.001"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00954-X"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13009"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2270-2"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01171-X"},{"key":"e_1_2_6_9_1","volume-title":"Being and Time","author":"Heidegger M","year":"1962"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2019-212525"},{"key":"e_1_2_6_11_1","unstructured":"World Health Organization.Stillbirth 2015[cited 26 September 2016]; 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