Couple Experiences of Loss and Grief after having a Stillbirth in Kampala, Uganda.

Abstract

Stillbirth is one of the most unfavorable, sudden and devastating outcomes of pregnancy for couples and leaves lasting scars on the lives of those who have endured it. Stillbirth is common and causes physical and psychological distress making the grieving process and coping with the loss complicated for parents. This study therefore sought to explore the experiences of couples, find out their grieving processes, and how they cope after having a stillbirth in Kampala. A phenomenological research design was employed. The study was carried out in Kampala, and individual face to face interviews were conducted with 6 couples (12 respondents) having stillbirth experiences. Data was analyzed thematically and 15 themes emerged including plans and expectations before stillbirth, diagnosis and confirmation reactions, toll of labor without reward, societal pressures and stigma after stillbirth, psychological and emotional impact of stillbirth under couples’ experiences, the struggle of denial in the face of loss, emotional turmoil and strained relationships, acceptance and finding closure together under grieving processes and lastly but not least, social support, divine plans and spiritual resilience, finding purpose and sharing hope, under coping strategies couples used after having a stillbirth among others. The results reported gender disparities in grieving processes and coping behaviors among the respondents. Female participants, in particular, continued to grapple with lingering grief years after the loss whereas most men accepted the loss almost instantly, highlighting the need for tailored therapy and support services. In overall, this study underscores the need for a comprehensive understanding of stillbirth's multifaceted dimensions to develop effective interventions and support systems, ultimately aiding couples in their journey toward healing and resilience.