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    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 20, 2022
    PubMed
    Summary
    This summary is machine-generated.

    Neonatal deaths are a growing concern, with a study in Togo revealing that healthcare staff often blame mothers, leading to unspoken grief. Implementing death audits in maternity wards is crucial for improving perinatal care.

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    Area of Science:

    • Global health
    • Anthropology
    • Public health

    Context:

    • Neonatal mortality remains a significant global health challenge, with a rising proportion of under-five deaths occurring in the first month of life.
    • A 2016 report indicated 2.6 million neonatal deaths worldwide.
    • Between 1990 and 2015, the share of neonatal deaths among children under five increased from 26% to 35%.

    Purpose:

    • To conduct a clinical ethnography of perinatal death situations in north Togo.
    • To explore the perspectives of healthcare staff and families regarding neonatal deaths.
    • To identify systemic issues contributing to adverse perinatal outcomes.

    Summary:

    • An anthropological study in Togo's Savanes region examined perinatal death situations through clinical ethnography.

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  • Findings indicate that nursing staff frequently attribute blame to mothers for neonatal deaths, citing reasons like delayed hospital arrival or untreated maternal illness.
  • Healthcare providers are rarely held accountable, and families often maintain silence, leaving grieving mothers with unaddressed guilt.

    • Impact:

    • The study highlights the need for death audits in maternity wards to improve care for mothers and newborns.
    • Addressing the systemic biases and lack of accountability in perinatal care is essential.
    • This research can inform interventions aimed at reducing neonatal mortality and supporting bereaved families.