Experiences, support networks, and resilience among women after stillbirth in Ghana: a qualitative study

Stillbirth remains a profound public health, psychological, and social concern, particularly in low- and middle-income settings where bereavement support is limited. This study explored the support networks and resilience strategies of women who experienced stillbirth at Shai Osudoku District Hospital in the Greater Accra Region of Ghana.

A qualitative descriptive study using inductive thematic analysis was employed to capture women's lived experiences in their own words. Fifteen postpartum women, 6-24 weeks after a stillbirth, were purposively recruited, and in-depth semi-structured interviews were conducted. Data were analyzed inductively using Braun and Clarke's thematic framework supported by NVivo 12 software. Trustworthiness was enhanced through reflexive coding discussions and systematic documentation.

Three themes emerged: Social Impact of Life Following Stillbirth, Post-Stillbirth Support Networks, and Adaptive Coping and Resilience in the Aftermath of Stillbirth. Women described profound emotional distress, difficulties reintegrating into their communities, and inadequate workplace support. Family, peers, health professionals, and faith groups played essential roles in providing emotional, physical, and financial support, though the strength and consistency of these networks varied. Coping strategies were multifaceted, including reliance on personal faith in God or Allah, diversional activities such as social media or physical exercise, and reframing their loss through gratitude for survival and hope for future motherhood.

The findings highlight significant psychosocial needs following stillbirth, including improved communication from providers, structured bereavement support, and culturally sensitive interventions to strengthen resilience. This study contributes context-specific evidence to inform practice, policy, and community-level support systems for bereaved women in Ghana.