Looking after bubba for all our mob: Aboriginal and Torres Strait Islander community experiences and perceptions of stillbirth

The stillbirth rate among Aboriginal and Torres Strait Islander women and communities in Australia is around double that of non-Indigenous women. While the development of effective prevention strategies during pregnancy and improving care following stillbirth for women and families in communities ha...

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Main Authors: Luciana Massi, Carolyn Lewis, Skye Stewart, Diana Jans, Rupesh Gautam, Lina Jalloub, Anneka Bowman, Philippa Middleton, Sue Vlack, Frances M. Boyle, Carrington Shepherd, Vicki Flenady, Deanna Stuart-Butler, Kym M. Rae
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1385125/full
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author Luciana Massi
Luciana Massi
Carolyn Lewis
Skye Stewart
Diana Jans
Rupesh Gautam
Lina Jalloub
Anneka Bowman
Philippa Middleton
Philippa Middleton
Sue Vlack
Frances M. Boyle
Frances M. Boyle
Carrington Shepherd
Carrington Shepherd
Carrington Shepherd
Vicki Flenady
Deanna Stuart-Butler
Kym M. Rae
Kym M. Rae
Kym M. Rae
author_facet Luciana Massi
Luciana Massi
Carolyn Lewis
Skye Stewart
Diana Jans
Rupesh Gautam
Lina Jalloub
Anneka Bowman
Philippa Middleton
Philippa Middleton
Sue Vlack
Frances M. Boyle
Frances M. Boyle
Carrington Shepherd
Carrington Shepherd
Carrington Shepherd
Vicki Flenady
Deanna Stuart-Butler
Kym M. Rae
Kym M. Rae
Kym M. Rae
author_sort Luciana Massi
collection DOAJ
description The stillbirth rate among Aboriginal and Torres Strait Islander women and communities in Australia is around double that of non-Indigenous women. While the development of effective prevention strategies during pregnancy and improving care following stillbirth for women and families in communities has become a national priority, there has been limited progress in stillbirth disparities. With community permission, this study aimed to gain a better understanding of community experiences, perceptions, and priorities around stillbirth. We undertook an Indigenous researcher-led, qualitative study, with community consultations guided by a cultural protection protocol and within an unstructured research framework. A total of 18 communities were consulted face-to-face through yarning interviews, focus groups and workshops. This included 54 community member and 159 health professional participants across remote, regional, and urban areas of Queensland, Western Australia, Victoria, South Australia, and Northern Territory. Thematic analysis of consultation data identified common themes across five focus/priority areas to address stillbirth: Stillbirth or Sorry Business Baby care needs to be family-centered; using Indigenous “ways of knowing, being, and doing” to ensure cultural safety; application of Birthing on Country principles to maternal and perinatal care; and yarning approaches to improve communication and learning or education. The results underscore the critical need to co-design evidence-based, culturally appropriate, and community-acceptable resources to help reduce existing disparities in stillbirth rates.
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spelling doaj.art-b6f891bc617046788d9f3f94272d554b2024-04-16T12:22:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-04-011210.3389/fpubh.2024.13851251385125Looking after bubba for all our mob: Aboriginal and Torres Strait Islander community experiences and perceptions of stillbirthLuciana Massi0Luciana Massi1Carolyn Lewis2Skye Stewart3Diana Jans4Rupesh Gautam5Lina Jalloub6Anneka Bowman7Philippa Middleton8Philippa Middleton9Sue Vlack10Frances M. Boyle11Frances M. Boyle12Carrington Shepherd13Carrington Shepherd14Carrington Shepherd15Vicki Flenady16Deanna Stuart-Butler17Kym M. Rae18Kym M. Rae19Kym M. Rae20Stillbirth Centre of Research Excellence, Mater Research Institute, The University of Queensland, Brisbane, QLD, AustraliaIndigenous Health Research Group, Mater Research Institute, The University of Queensland, Brisbane, QLD, AustraliaCurtin Medical School, Curtin University, Perth, WA, AustraliaRed Nose Australia, Melbourne, VIC, AustraliaApunipima Cape York Health Council, Cairns, QLD, AustraliaStillbirth Centre of Research Excellence, Mater Research Institute, The University of Queensland, Brisbane, QLD, AustraliaStillbirth Centre of Research Excellence, Mater Research Institute, The University of Queensland, Brisbane, QLD, AustraliaDepartment Aboriginal Communities and Families Research Alliance, South Australia Health and Medical Research Institute, Adelaide, SA, AustraliaStillbirth Centre of Research Excellence, Mater Research Institute, The University of Queensland, Brisbane, QLD, AustraliaPregnancy and Perinatal Care, South Australia Health and Medical Research Institute, Adelaide, SA, AustraliaSchool of Public Health, The University of Queensland, Brisbane, QLD, AustraliaStillbirth Centre of Research Excellence, Mater Research Institute, The University of Queensland, Brisbane, QLD, AustraliaInstitute for Social Science Research (ISSR), The University of Queensland, Brisbane, QLD, AustraliaCurtin Medical School, Curtin University, Perth, WA, Australia0Ngangk Yira Research Institute, Murdoch University, Perth, WA, Australia1Telethon Kids Institute, Perth, WA, AustraliaStillbirth Centre of Research Excellence, Mater Research Institute, The University of Queensland, Brisbane, QLD, AustraliaStillbirth Centre of Research Excellence, Mater Research Institute, The University of Queensland, Brisbane, QLD, AustraliaStillbirth Centre of Research Excellence, Mater Research Institute, The University of Queensland, Brisbane, QLD, AustraliaIndigenous Health Research Group, Mater Research Institute, The University of Queensland, Brisbane, QLD, Australia2Faculty of Medicine, The University of Queensland, Brisbane, QLD, AustraliaThe stillbirth rate among Aboriginal and Torres Strait Islander women and communities in Australia is around double that of non-Indigenous women. While the development of effective prevention strategies during pregnancy and improving care following stillbirth for women and families in communities has become a national priority, there has been limited progress in stillbirth disparities. With community permission, this study aimed to gain a better understanding of community experiences, perceptions, and priorities around stillbirth. We undertook an Indigenous researcher-led, qualitative study, with community consultations guided by a cultural protection protocol and within an unstructured research framework. A total of 18 communities were consulted face-to-face through yarning interviews, focus groups and workshops. This included 54 community member and 159 health professional participants across remote, regional, and urban areas of Queensland, Western Australia, Victoria, South Australia, and Northern Territory. Thematic analysis of consultation data identified common themes across five focus/priority areas to address stillbirth: Stillbirth or Sorry Business Baby care needs to be family-centered; using Indigenous “ways of knowing, being, and doing” to ensure cultural safety; application of Birthing on Country principles to maternal and perinatal care; and yarning approaches to improve communication and learning or education. The results underscore the critical need to co-design evidence-based, culturally appropriate, and community-acceptable resources to help reduce existing disparities in stillbirth rates.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1385125/fullstillbirthAboriginal and Torres Strait IslandersIndigenousgrief and lossperinatal lossantenatal care
spellingShingle Luciana Massi
Luciana Massi
Carolyn Lewis
Skye Stewart
Diana Jans
Rupesh Gautam
Lina Jalloub
Anneka Bowman
Philippa Middleton
Philippa Middleton
Sue Vlack
Frances M. Boyle
Frances M. Boyle
Carrington Shepherd
Carrington Shepherd
Carrington Shepherd
Vicki Flenady
Deanna Stuart-Butler
Kym M. Rae
Kym M. Rae
Kym M. Rae
Looking after bubba for all our mob: Aboriginal and Torres Strait Islander community experiences and perceptions of stillbirth
Frontiers in Public Health
stillbirth
Aboriginal and Torres Strait Islanders
Indigenous
grief and loss
perinatal loss
antenatal care
title Looking after bubba for all our mob: Aboriginal and Torres Strait Islander community experiences and perceptions of stillbirth
title_full Looking after bubba for all our mob: Aboriginal and Torres Strait Islander community experiences and perceptions of stillbirth
title_fullStr Looking after bubba for all our mob: Aboriginal and Torres Strait Islander community experiences and perceptions of stillbirth
title_full_unstemmed Looking after bubba for all our mob: Aboriginal and Torres Strait Islander community experiences and perceptions of stillbirth
title_short Looking after bubba for all our mob: Aboriginal and Torres Strait Islander community experiences and perceptions of stillbirth
title_sort looking after bubba for all our mob aboriginal and torres strait islander community experiences and perceptions of stillbirth
topic stillbirth
Aboriginal and Torres Strait Islanders
Indigenous
grief and loss
perinatal loss
antenatal care
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1385125/full
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