Citation

Acharya SS. Indian J. Med. Res. 2018; 148(Suppl): S27-S37.

Affiliation

Centre of Social Medicine & Community Health, School of Social Sciences, Jawaharlal Nehru University, New Delhi, India.

Copyright

(Copyright © 2018, Indian Council of Medical Research)

DOI

10.4103/ijmr.IJMR_779_18

PMID

30964079

Abstract

Death, disease and disaster can inflict anyone, anywhere and at any time. While occurrence of such an event could be absolved of any selective strike, the outcome reflects otherwise. Historical deprivations experienced by certain populations have caused more bereavement and sorrow to them than those who have experienced lesser or no deprivation. Therefore, the process which shapes the factors to yield such a result is important and needs to be understood for any policy suggestions and programmatic inputs. Loss of pregnancy and newborn inflicts sorrow and bereavement across space, time and social labyrinth. The degree of bereavement is likely to reduce with time, but space and social context govern the response to it. Therefore, factors contributing to the differentials vary in their demographic, social and economic characteristics. The loss of pregnancy and newborn remains inadequately addressed. Family and community play a significant role in coping. While the developed countries have institutional structure to address coping with the loss, the South Asian countries rely heavily on the family and the community for such support. The present review examines these trajectories across social groups.

Language: en

Keywords

Bereavement; early deaths; healthcare services; perinatal loss; pregnancy loss; social groups' differentials