Journal of Qualitative Research in Health Sciences

Authors

1 Islamic Azad University, Kerman Branch

2 Kerman university of medical sciences

Abstract

Introduction: The majority of mother deaths due to pregnancy and childbirth complications are unexpected. This occurrence will have several effects on family and create difficulties in their lives. The aim of this study was to describe and explain families’ experiences of maternal death due to pregnancy-related complications.
Method: In this descriptive qualitative phenomenological research, the sample consisted of a total of 16 people, 10 members of families with at least one living child, experienced mother's death more than six months before, 3 supervisors of orphaned infants, and 3 midwives, selected via purposive sampling method. Data collection was performed using semi-structured interviews with open-ended questions. The mean duration of interviews was 45 minutes and an electronically tape recorder was used to record the interviews. Analysis of collected data was conducted using Colaizzi method via MAX-QD10 software.
Results: 3 major themes and 11 subthemes were extracted. The main themes were "spiritual and behavioral area", "lifestyle and fate changes", and "areas of social life". The integration of these themes resulted in an unequivocal statement that maternal mortality due to pregnancy and delivery complications was a tragedy which caused vulnerability of families, especially the children.
Conclusion: Families' experiences of mothers’ death due to pregnancy-related complications were different from other mothers' deaths regarding two aspects. First, maternal deaths could not been anticipated and were not expected. This lack of preparation exacerbated the vulnerability of the family. Second, the infant who strongly needed to be under mother’s care, remained uncertain. So, primary cares should be taken to prevent maternal mortality. In addition, governmental and non-governmental organizations should coordinate policies and specific cares to support the families and prevent early and late adverse effects.

Keywords

1. Leveno K, Cunningham F, Alexander J, Bloom S, Casey B, Dashe J, Sheffield J, Roberts S. Williams manual of obstetrics: Pregnancy complications. McGraw Hill Professional; 2007 Apr 5. 2. Ronsmans C, Graham WJ, Lancet Maternal Survival Series steering group. Maternal mortality: who, when, where, and why. The Lancet. 2006 Oct 6;368(9542):1189-200. 3. Mahaini R, Mahmoud H. Reducing maternal mortality in the Eastern Mediterranean Region. East Mediterranean Health journal 2005 Jul;11(4):539-44 4. Kirigia JM, Oluwole D, Mwabo GM, Gatwiri D, Kainyu LH. Effects of maternal mortality on gross domestic product (GDP) in the WHO African Region. African Journal of Health Sciences. 2008;13(1):86-95. 5. Soltani H, Fair F, Hakimi S. Reduction in global maternal mortality rate 1990–2012: Iran as a case example. Midwifery. 2015 Feb 1;31(2):271-3. 6. Murphy SL, Kochanek KD, Xu J, Heron M. National vital statistics reports. National Vital Statistics Reports. 2015 Aug 31;63(9). 7. Shamshiri Millani H., Textbook of Public Health, 3th ed. 2013, Tehran: Shahid Beheshty University. 8. Miller S, Belizán JM. The true cost of maternal death: individual tragedy impacts family, community and nations. Reproductive health. 2015 Jun 17;12(1):56. 9. Perry SE, Hockenberry MJ, Lowdermilk DL, Wilson D. Maternal child nursing care. Elsevier Health Sciences; 2014 Mar 12. 10. Yamin AE, Boulanger VM, Falb KL, Shuma J, Leaning J. Costs of inaction on maternal mortality: qualitative evidence of the impacts of maternal deaths on living children in Tanzania. PloS one. 2013 Aug 19;8(8):e71674. 11. Mosley WH, Koblinsky MA, Reed HE. The Consequences of Maternal Morbidity and Maternal Mortality: Report of a Workshop. National Academies Press; 2000 Mar 21. 12. Nikbakht Nasrabadi AR, Parsa Yekta Z, Seif H, Rasoolzadeh N. Professionalization experiences of newely employed nurses in clinical settings in Iran. Hayat. 2005 Jun 15;11(4):5-18. 13. Abedi, H.A, Application of phenomenological research in clinical sciences. Rahboard, 2010;54(19): 207-224. 14. Bazile J, Rigodon J, Berman L, Boulanger VM, Maistrellis E, Kausiwa P, Yamin AE. Intergenerational impacts of maternal mortality: Qualitative findings from rural Malawi. Reprod Health. 2015 May 6;12(suppl 1):S1. 15. Molla M, Mitiku I, Worku A, Yamin AE. Impacts of maternal mortality on living children and families: A qualitative study from Butajira, Ethiopia. Reproductive health. 2015 May 6;12(Suppl 1):S6. 16. Knight L, Yamin A. Without a mother”: caregivers and community members’ views about the impacts of maternal mortality on families in KwaZulu-Natal, South Africa. Reprod Health. 2015 May 6;12(Suppl 1):S5. 17. Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, Lopez AD, Lozano R, Murray CJ. Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. The lancet. 2010 May 14;375(9726):1609-23. 18. Atwood GE, Stolorow RD. The demons of phenomenological contextualism: A conversation. Psychoanalytic review. 2012 Apr 1;99(2):267. 19. Tajik P, Nedjat S, Afshar NE, Changizi N, Yazdizadeh B, Azemikhah A, Aamrolalaei S, Majdzadeh R. Inequality in maternal mortality in iran: an ecologic study. International journal of preventive medicine. 2012 Feb 1;3(2). 20. Dowling M, Cooney A. Research approaches related to phenomenology: negotiating a complex landscape. Nurse Researcher. 2012 Nov 22; 20(2):21-7.