{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T13:12:48Z","timestamp":1788354768774,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T00:00:00Z","timestamp":1515369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["NSC 98\u20102314\u2010B\u2010273\u2010003"],"award-info":[{"award-number":["NSC 98\u20102314\u2010B\u2010273\u2010003"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore the meaning of rituals that women and their families perform after a stillbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>A cultural taboo in Taiwan prohibits discussing death; thus, parents of stillborn babies have no established public mourning or burial ceremonies to perform for their stillborn children. Stillbirths are often treated as if they had never happened.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative descriptive study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In\u2010depth interviews, which were transcribed and content analysed, were conducted with a purposive sample of 16 women discharged from two teaching hospitals in Taiwan after they had a stillbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Families engaged in rituals for two underlying reasons: to benefit the deceased child and the immediate family. The meanings of the rituals for the child are presented through three themes: (i) sending the baby's spirit to a safe place, (ii) protecting it from suffering and (iii) preparing it for a better reincarnation. The meanings of rituals for the families are presented through four themes: (i) releasing parental guilt by doing their best for the deceased child, (ii) cutting bonds with the child, (iii) avoiding additional misfortune should they mishandle the funeral and (iv) praying for a successful subsequent pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Death\u2010related rituals are highly culturally diverse. This study fills a gap about Asian cultures. Participating in rituals permits a mother to do something for her deceased child, helps relieve her guilt and lets her cope with the stillbirth. Rituals after a stillbirth can help a woman recover from grieving and allow her to hope for a successful subsequent pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Health professionals should discuss with bereaved parents what rituals they would like to perform and then respect their decisions. A continuum of care and support that exists from the prenatal diagnosis through the stillbirth and beyond is recommended for parents and families during this difficult time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14142","type":"journal-article","created":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T07:28:41Z","timestamp":1509089321000},"page":"1134-1142","source":"Crossref","is-referenced-by-count":37,"title":["The meaning of rituals after a stillbirth: A qualitative study of mothers with a stillborn baby"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0397-5746","authenticated-orcid":false,"given":"Ying\u2010Fen","family":"Tseng","sequence":"first","affiliation":[{"name":"Department of Nursing Chung Hwa University of Medical Technology Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min\u2010Tao","family":"Hsu","sequence":"additional","affiliation":[{"name":"College of Nursing Kaohsiung Medical University Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yueh\u2010Tzu","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Nursing Chung Hwa University of Medical Technology Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsiu\u2010Rong","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Nursing Chung Hwa University of Medical Technology Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1300\/j085V04N04_04"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1300\/J015v27n03_09"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10522150802451667"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005237-200607000-00009"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2006.03.010"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/15325020305876"},{"key":"e_1_2_12_8_1","volume-title":"The anthropology of pregnancy loss: Comparative studies in miscarriage, stillbirth, and neo\u2010natal death","author":"Cecil R.","year":"1996"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-305557"},{"key":"e_1_2_12_10_1","first-page":"e002237","article-title":"Bereaved parents\u2019 experience of stillbirth in UK hospitals: A qualitative interview study","volume":"3","author":"Downe S.","year":"2013","journal-title":"The British Medical Journal"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1800.2006.00313.x"},{"key":"e_1_2_12_12_1","unstructured":"Hsu M. 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