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(In)visibilising pregnancy loss in Southern Malawi.

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Summary

Pregnancy loss, including miscarriage, stillbirth, and neonatal death, is common yet stigmatized. Societal and medical views often blame women, creating suffering and limiting support for those experiencing pregnancy loss.

Keywords:
MalawiPregnancy lossdiscoursestigmastructural violence

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Area of Science:

  • Global Health
  • Sociology
  • Reproductive Health

Background:

  • Pregnancy loss (miscarriage, stillbirth, neonatal death) is a common yet under-researched global health issue.
  • These events are traumatic, stigmatized, and often lack adequate attention in health programs.
  • Limited research exists on the lived experiences of pregnancy loss in low-income settings.

Purpose of the Study:

  • To explore the lived experiences of women who have undergone pregnancy loss in southern Malawi.
  • To analyze the societal and medical discourses surrounding pregnancy loss.
  • To understand how these discourses impact women's experiences and access to care.

Main Methods:

  • Qualitative study employing semi-structured interviews and focus groups.
  • Involved women experiencing loss, health professionals, and community members.
  • Utilized thematic and discourse analysis of collected data and maternity care observations.

Main Results:

  • Societal and medical discourses attribute responsibility for reproductive failure to women.
  • Practices and language often invisibilize pregnancy loss and associated suffering.
  • Some women employ faith and acceptance as coping mechanisms to avoid social stigma.
  • Invisibilization can paradoxically highlight the social significance of parenthood.

Conclusions:

  • Discourses surrounding pregnancy loss position women as stigmatized and subaltern, leading to social suffering.
  • This constitutes a form of structural violence impacting women's well-being.
  • Interventions must address and transform these harmful societal and medical discourses.