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Addressing Stillbirth in India Must Include Men.

Lisa Roberts1, Susanne Montgomery2, Gayatri Ganesh3

  • 1a School of Nursing, Loma Linda University , Loma Linda , California , USA.

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Men experiencing stillbirth in India face increased anxiety and depression, yet hold more egalitarian views. Societal pressures like son preference and patriarchal values contribute to stillbirth risks and impact men

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Area of Science:

  • Public Health
  • Reproductive Health
  • Men's Mental Health

Background:

  • Reducing child mortality (Millennium Development Goal 4) necessitates global stillbirth reduction.
  • India faces high stillbirth rates due to combined medical and sociocultural factors.
  • The psychosocial impact of stillbirth on men, especially in non-Western contexts, requires further understanding.

Purpose of the Study:

  • To explore men's perceptions and knowledge of reproductive and maternal-child health in India.
  • To investigate the psychosocial aftermath of stillbirth for men in the Indian context.

Main Methods:

  • Analysis of key informant interviews (n=5).
  • Conduction of 28 structured interviews using a survey based on qualitative themes.

Main Results:

  • Qualitative findings highlight men's dual burden, reproductive decision-making power, and pressure for subsequent conception, sometimes involving a second wife.
  • Quantitative data show men with stillbirth history exhibit higher anxiety/depression and less social support, but hold more egalitarian views.
  • Fathers of stillbirths were more prone to emotional or physical abuse; predictors of mental health and attitudes are discussed.

Conclusions:

  • Patriarchal values, son preference, low female autonomy, and sex-selective abortion increase stillbirth risk and negative infant outcomes.
  • Grief interventions must incorporate men's perspectives on reproductive decision-making, attitudes, and behaviors.