Faith as Structure: Meaning-Making and Bereavement After Stillbirth in India — A Narrative Review
Author:
Ayesha Ahmad
Department of Obstetrics and Gynaecology, Career Institute of Medical Sciences and Hospital, Lucknow, UP, India - 226013
Uma Gupta
Department of Obstetrics and Gynaecology, Era’s Lucknow Medical College and Hospital, Era University, Lucknow, UP, India - 226003
Himanshu Arora2, Vanya Shiel
Department of Obstetrics and Gynaecology, Career Institute of Medical Sciences and Hospital, Lucknow, UP, India - 226013
Mustafa Nabi Shah
Department of Obstetrics and Gynaecology, Career Institute of Medical Sciences and Hospital, Lucknow, UP, India - 226013
Abstract:
Background:
Despite the high burden of stillbirths in
India, bereavement care remains in its infantile stages. Neither does our
healthcare system have a structured organisation for bereavement care, nor have
we invested much time and energy in finding out what helps our parents overcome
the trauma. Faced with lack of options, families often rely on ‘faith’ to
interpret and give meaning to their loss.
Objective: To examine
the role of faith in shaping bereavement care after stillbirth in India and
derive its implications for clinical care.
Methods: The present
paper is a narrative review of the existing literature on grief, coping
mechanisms, and meaning-making following stillbirth, with particular focus on
the Indian context.
Results: Faith is an
important coping mechanism in LMICs like India. In the absence of a structured
bereavement care algorithm, it is faith and spirituality that helps the parents
in healing after stilbirth. Faith provides explanations for loss, supports
emotional stability, and structures of grief through rituals. However, certain
interpretations may in fact contribute to self-blame or limit engagement with
medical inquiries regarding cause of stillbirth. In India, these responses are
influenced by family dynamics, gender roles, and limited formal support
systems.
Conclusion: Faith is a
central component of bereavement after stillbirth in India. The caregivers
should recognise and respect parents’ belief systems while giving accepted
medical care and advice.
Keywords:
Stillbirth, Bereavement, Faith, Religion, Spirituality, Meaning-making, Disenfranchised grief, Maternal mental health, Cultural context, Obstetric care, India