Family Planning Intentions and Practices Among Women With Poor Obstetric Outcome
Condition: Stillbirth
MeSH terms: Stillbirth
Study type: Observational

Summary: 
      Women who have experienced a stillbirth or neonatal death are at higher risk of repeated poor
      neonatal outcomes if they have short interpregnancy intervals. Understanding the attitudes
      surrounding future fertility and contraception in this population is critical to propose
      socially and culturally acceptable interventions to address an unmet need for family
      planning.

      Participants: Women who have experienced a stillbirth or early neonatal death will be
      recruited from the postnatal ward of Bwaila Maternity Hospital in Lilongwe, Malawi.

      Procedures (methods): This will be a qualitative study using 20 in-depth interviews and four
      focus group discussions of up to 10 women each.
    

Detailed description: 
      The investigators propose a qualitative study of up to 60 women who have experienced a
      stillbirth or early neonatal death. This will be a qualitative study using 20 in-depth
      interviews and four focus group discussions of up to 10 women each. In-depth interviews will
      be conducted in Chichewa in a private room either within the participants' homes or in
      another private location determined by the participant.

      Each interview will take approximately 60-90 minutes to complete. The focus group discussions
      will be conducted in a private room in a health facility with 6-10 participants. These will
      take approximately 90-120 minutes to complete. Interviews and the focus group discussion will
      be audio-recorded, transcribed, and translated to English. If a participant is found to be
      eligible, she will be invited to participate in the study. After the investigators complete
      the in-depth interviews, the investigators will analyze the data and modify our focus group
      discussion guide as needed to integrate new themes that may have emerged during the
      individual interviews. The investigators will recruit 6-10 women per focus group (24 to 40
      total) from the same hospital that were used to recruit for the individual interviews.

      The investigators will search for recurrent patterns and themes in data and for ideas that
      help to explain the presence of these patterns. The data collection and analysis process is
      designed to be iterative, such that the investigators will be reviewing data as it is
      collected and adjusting the data collection instrument to reflect new themes that emerge
      during the data collection process. All interviews will be audio-recorded, transcribed,
      translated, coded and computerized for analysis.
    

Intervention name(s): In-depth interviews; Focus Group
Intervention type(s): Other; Other
Intervention description(s): Future family planning intentions and beliefs
Family planning experiences and beliefs:
Feasibility and acceptability of birth spacing promotion for women who experienced a still birth or early neonatal demise; Future family planning intentions and beliefs
Family planning experiences and beliefs:
Feasibility and acceptability of birth spacing promotion for women who have experienced a stillbirth or early neonatal demise
Observational model: Cohort
Time perspective: Prospective
Sampling method: Probability Sample
Study population: 
        60 women who have experienced a stillbirth or early neonatal death. Study participants will
        be recruited from the postnatal wards at Bwaila Maternity Hospital in Lilongwe, Malawi.
      
Keywords: Family planning; Birth spacing