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Midwives' experiences of caring for couples having a stillbirth

机译:Midwives' experiences of caring for couples having a stillbirth

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摘要

Background: Stillbirth is defined as fetal death from 22 weeks of gestation with a birth weight of 500 gm or more. The experience of stillbirth has a profound impact not only on the bereaved parents, but also on the midwives who provide care to these families. Aims: To delve into the midwives'challenges when caring for parents having a stillbirth, explore the midwives' practices and identify their interpersonal skills when caring for these couples. Method: Eight midwives working in the local Central Delivery Suite (CDS) were purposively sampled. Data were collected via a self-designed, one-time, face-to-face, semi-structured interview. Audio-recorded data were transcribed verbatim and analysed using thematic analysis. Findings: Three themes were identified: emotional hardships; confronting obstacles; and alleviating the parents'anguish. Providing care to couples going through a stillbirth was described as a difficult experience, entailing emotional hardship. Care practices that midwives adopt to help parents deal with loss were expressed. Good interpersonal skills, particularly being silent and active listening, were considered pivotal. Several opinions were shared about the need for midwifery training and practice guidelines. Conclusion: The overall caring experience generates various struggles and emotional tolls on midwives; the day-to-day challenges experienced evidently have an impact. Additional interpersonal skills were highlighted and discussed. Debriefing services, supportive guidelines, training opportunities and in-depth studies on the midwives'experiences from a more holistic perspective were the main recommendations.

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