Coping Strategies Following Fetal Loss Among Women Who Gave Birth in Selected Health Facilities in Eastern Ethiopia: A Phenomenological Study

Abstract

Pregnancy is typically a joyous experience, but in low-resource settings, many pregnancies end in fetal loss, which has profound emotional and psychological effects. This is a phenomenological qualitative study used to investigate coping mechanisms using the Living with Grief after Pregnancy Loss model among purposively selected women who experienced fetal loss in two major hospitals in Harar Town, eastern Ethiopia. Results: Fourteen women (mean age 25.14 years) participated. Four main themes emerged: self/personal resilience, social support networks, religious and spiritual practices, and cultural belief systems. Connectedness was fostered through emotional support, active life participation, and strong family and spiritual support. Disconnectedness included denial, blaming oneself or a partner, isolation, and avoidance of social support. Withdrawal from religious practices and cultural conflicts, such as not adhering to gender roles, hindered coping. Conclusion: Coping with fetal loss is shaped by spiritual, personal, social, and cultural factors. Support from family, religion, and community helps women navigate grief, while blame and isolation impede recovery. These findings highlight the importance of social capital and suggest that a holistic approach that incorporates emotional, spiritual, and cultural support is critical for helping women cope with fetal loss.