Postpartum Experiences of Black Birthing People After Stillbirth: A Qualitative Study

Despite improvements in obstetric care, stillbirth rates in the United States remain disproportionately high among Black birthing individuals, who experience losses at more than twice the rate of non-Hispanic White and Hispanic counterparts. This qualitative study explores the postpartum experiences of Black birthing people following stillbirth, with a focus on social support, emotional responses, and healthcare quality. Thematic analysis of focus group discussions revealed five central themes: the multifaceted nature of social support, complex emotional reactions, interactions with healthcare professionals, the impact of racial concordance in care, and challenges with postpartum follow-up. Participants described inconsistent or absent support, feelings of isolation, and interactions with providers that often lacked empathy and cultural understanding. When racial concordance was present, it enhanced communication and trust but was rarely available. These findings highlight significant gaps in grief-informed and identity-affirming care, as well as the broader systemic inequities that shape care experiences. By centering the voices of Black birthing individuals, this study provides critical insights into the unique challenges faced after stillbirth. It underscores the need for targeted interventions and policy reforms to improve care quality and outcomes. Addressing these gaps is essential to promoting equity and healing for this underserved population. Keywords: Black birthing people, stillbirth, postpartum care, social support, grief, racial disparities, racial concordance, healthcare experiences