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Cited by 82Maternal Mental Health During Pregnancy and PostpartumGrief, Bereavement, and Mental HealthGlobal Maternal and Child Health

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

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Gausia, Kaniz, Moran, Allisyn C, Ali, Mohammed, Ryder, David, Fisher, Colleen, Koblinsky, Marge·2011·BMC Public Health
DOI 10.1186/1471-2458-11-451PMC PMC3124431
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Abstract

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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  • In low resource settings, poverty, financial instability and poor access to care hospitals are risk factors for anxiety among women in their reproductive years.

    “This is surprising given the nesting of mental health within social determinants of mental health and the impact in low resource settings of poverty, financial instability and poor access to care hospitals as risk factors for anxiety among women in their reproductive years (Gausia et al., 2011; Filippi et al., 2007).”

    From The mental health impact of perinatal loss: A systematic review and meta-analysis (2022) · cites this paper as Gausia et al., 2011

    The Discussion (page unavailable) describes limited public mental-health services in Bangladesh, supporting the low-resource access-to-care context. The Results (page unavailable) include anxiety as a reported symptom, but identify relationships and guilt—not poverty, financial instability, or poor hospital access—as factors associated with psychological distress after childbirth. The paper therefore does not establish the claimed risk factors for anxiety among women of reproductive age generally. (LLM, conf=0.83)

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Authors
Gausia, K., Moran, A. C., Ali, M., Ryder, D., Fisher, C., & Koblinsky, M.
Affiliations
  • Edith Cowan University (AU)
  • Johns Hopkins University (US)
  • Curtin University (AU)
  • The University of Western Australia (AU)
  • International Centre for Diarrhoeal Disease Research (BD)
Corresponding author
Gausia, Kaniz
ORCID
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2011-06-09
Volume
11
Issue
1
Pages
451-451
ISSN
1471-2458 (ISSN-L)
DOI
10.1186/1471-2458-11-451
PMC
PMC3124431
OpenAlex
W2046054097
Cited by
82
References
30
Citations by year
2026: 5 · 2025: 6 · 2024: 5 · 2023: 19 · 2022: 4 · 2021: 10 · 2020: 5 · 2019: 4 · 2018: 7 · 2017: 2 · 2016: 5 · 2015: 3 · 2014: 3 · 2013: 2 · 2012: 1
FWCI
1.89
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UWA Profiles and Research Repository (UWA) (submittedVersion, other-oa)
  • Australasian Journal of Paramedicine (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • eSpace (Curtin University) (submittedVersion, cc-by)
  • Greater South Information System
Funders
  • United States Agency for International Development
  • Johns Hopkins University
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords
perinatal loss, perinatal death, maternal depression, postpartum depression, psychological impact, social consequences, guilt, marital relationships, low-income countries, rural Bangladesh, maternal mental health services, family support
MeSH terms
Adult, Bangladesh, Female, Fetal Death, Humans, Interviews as Topic, Rural Population, Social Adjustment, Stress, Psychological, Depression, Postpartum, Young Adult

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