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Published in: BMC Pregnancy and Childbirth 1/2017

Open Access 01-12-2017 | Research article

Causal explanations of miscarriage amongst Qataris

Authors: Susie Kilshaw, Nadia Omar, Stella Major, Mona Mohsen, Faten El Taher, Halima Al Tamimi, Kristina Sole, Daniel Miller

Published in: BMC Pregnancy and Childbirth | Issue 1/2017

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Abstract

Background

Despite its commonality, there is a paucity of literature on miscarriage in non-Western societies. In particular, there is little understanding of how people ascribe cause to miscarriage. This research sought to gain an in-depth understanding of notions of miscarriage causality and risk amongst Qataris.

Methods

The study adopted an exploratory descriptive qualitative approach and collected data during 18 months of ethnographic research in Qatar, including semi-structured interviews. The sample includes 60 primary participants (20 pregnant women and 40 women who had recently miscarried), and 55 secondary participants including family members, health care providers, religious scholars and traditional healers. Informed consent was obtained from all participants. Primary participants were interviewed in Arabic. The interviews were audio recorded, transcribed and translated into English. Data was analysed using an inductive thematic approach, which involved identification and application of multiple codes to different text segments. Data were encoded manually and examined for recurrences across the data set. Similar quotations were grouped into subcategories and further categorized into main themes.

Results

A number of key themes emerged, revealing Qatari women attributed miscarriages to a number of factors including: supernatural forces, such as God’s will and evil eye; lifestyle, such as physical activities and consuming particular substances; medical conditions, such as diabetes; and emotional state, such as stress, and emotional upset. Resting, avoiding stress and upset, maintaining healthy diet, and spiritual healing (ruqyah) are seen as a means to avoid miscarriage.

Conclusion

Practices and beliefs around miscarriage are embedded in social, cultural, religious and medical frameworks. Understanding the socio-cultural context and understandings of explanatory theories can enhance health care providers’ understandings, resulting in improved communication and care.
Footnotes
1
Consanguineous marriage is the intermarriage of two individuals who have at least one ancestor in common, the ancestor being no more distant than a great-great grandparent.
 
2
We excluded women suffering from recurrent pregnancy loss (RPL) because RPL is classified as a distinct medical issue/ condition and it is far less common that sporadic miscarriage. Only 1% of women will experience recurrent miscarriage, whereas sporadic miscarriage is very common [64]. The medical treatment of women suffering RPL differs and the emotional, physical and psychological toll is likely to be different. Also, for reasons of ethics we decided to exclude these women due to potential harm.
 
3
All names are pseudonyms and obvious identifiers have been changed to maintain anonymity.
 
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Metadata
Title
Causal explanations of miscarriage amongst Qataris
Authors
Susie Kilshaw
Nadia Omar
Stella Major
Mona Mohsen
Faten El Taher
Halima Al Tamimi
Kristina Sole
Daniel Miller
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2017
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-017-1422-5

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