Perinatal Loss: Experiences of Midwives and Nurses

Yenal, Kerziban; Tektaş, Pınar; Dönmez, Ayşegül; Okumuş, Hülya

doi:10.1177/00302228211029143

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…Kain’s [ 44 ] study defined grief as a “pervasive, highly individualized, dynamic process”. Tanzanian midwives shared stories that emphasized the fact that grief is not linear or localized but rather temporal, drawing on individualized experiences in both the present and past while simultaneously discovering new possible outcomes [ 13 , 18 , 45 , 46 ]. Such resilience is potent; based on the midwives’ accounts of haunting sadness, some have found a way to continue in a profession that is demanding in terms of the “self” [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…Prayer has been utilized by midwives as a coping strategy, giving pause while providing meaning by connecting the internal questioning of one’s own competency with an external manifestation in terms of spirituality that allows midwives to overcome their own negative responses [ 46 , 48 , 49 ]. Other studies conducted in sub-Saharan Africa have found that despite systemic failures, overwhelming workloads, and poor resources, midwives have elected to remain and “just keep going” [ 5 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

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Silent Tears of Midwives: ‘I Want Every Mother Who Gives Birth to Have Her Baby Alive’—A Narrative Inquiry of Midwives Experiences of Very Early Neonatal Death from Tanzania

Becker¹,

Becker²,

Abeysekera

et al. 2023

Children

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Background: Midwives working in settings with limited clinical resources experience high rates of very early neonatal deaths. Midwives manage the impact of this grief and trauma almost daily, which may affect patient care and their own well-being. Research Aims: To explore how midwives are impacted by and cope with high rates of very early neonatal deaths. To document midwives’ insights and local solutions that may reduce very early neonatal deaths in limited resource settings. To document the stories of midwives in order to create awareness and garner support for midwives and their critical work in low resource settings. Methods: Narrative inquiry utilizing semi structured interviews. Twenty-one midwives with at least six months experience who had experienced or witnessed very early neonatal death were interviewed. Data were audio recorded and transcribed, and reflexive thematic analysis of transcripts was conducted. Results and Discussion: Three themes were identified: (1) deep sadness resulting from very early neonatal deaths leading to internal struggles; (2) use of spirituality, including prayer and occasional beliefs that unexplainable deaths were ‘God’s plan’; and (3) development of resilience by seeking solutions, educating themselves, taking accountability and guiding mothers. Participating midwives noted that inadequate staff and high caseloads with limited basic supplies hindered their clinical practice. Participants articulated that they concentrated on active solutions to save babies during labour, such as vigilant foetal rate heart monitoring and partogram. Further, reduction and prevention of very early neonatal death is a complex problem requiring multidisciplinary teams and woman-centred care approaches to address issues contributing to the health of mothers and their new-borns. Conclusions: Midwives’ narratives highlighted ways of coping with grief and deep sadness, through prayer, and further education of both mothers and fellow colleagues to achieve better antenatal and intrapartum care and outcomes. This study gave midwives an opportunity for their voices to be heard and to generate solutions or insights that can be shared with colleagues in similar low-resource settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Silent Tears of Midwives: ‘I Want Every Mother Who Gives Birth to Have Her Baby Alive’—A Narrative Inquiry of Midwives Experiences of Very Early Neonatal Death from Tanzania

Becker¹,

Becker²,

Abeysekera

et al. 2023

Children

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Holistic Nursing Care for Perinatal Loss Based on Swanson's Theory of Caring

Berry,

Lazcano

2024

McN: The American Journal of Maternal/Child Nursing

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Purpose: The purpose of this study was to inform perinatal loss care by expanding upon the five processes of Swanson's Theory of Caring through a holistic lens. Study Design and Methods: This study was a qualitative content analysis of 34 interview transcripts of parents' experiences with perinatal loss. A priori codes were identified using a holistic model which guided the integration of parents' holistic needs into Swanson's Theory. Results: Nurses can address parents' physical, psychological, social, spiritual, and cultural needs using Swanson's Theory to provide high-quality, holistic care that may foster healing. Parents were appreciative of nurses who were transparent, did not avoid talking about their baby, facilitated memorialization, and fostered bonding. Anticipating parents' needs, being emotionally present, and recognizing the meaning of the perinatal loss experienced helped parents to have a more positive loss experience. Clinical Implications: By incorporating holistic interventions into care guided by Swanson's Theory, nurses can empower parents within their loss experience. Interventions to create memories, foster bonding and connection, promote autonomy, and celebrate personhood may facilitate healing. It is necessary to ensure nurses have the support and resources to attend to parents' holistic needs, including education and sufficient time for care interactions. Providing education in perinatal loss and grief, particularly to new nurse graduates, is necessary to ensure nurses are equipped to provide holistic care to families experiencing perinatal loss.

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Looking at pregnancy terminations from the opposite side: the perspective of healthcare professionals

Akpınar,

Turgut,

Yangın

2023

Preprint

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Background It is already known that the woman and the family can be affected in various ways psychologically and physiologically during the termination of pregnancy, but the healthcare professionals who manage the process can also be affected while being effective on the process. We aimed to determine the opinions and experiences of the healthcare professionals regarding pregnancy terminations with this qualitative study. Methods A hermeneutic phenomenological design was used in this qualitative study. Data collection were obtained through face-to-face and individual in-depth interviews using a semi-structured interview guide between December 2018 - April 2019. The sample of the study consisted of 26 participants from different professions who have encountered pregnancy termination process. Results Data were grouped under two themes with seven three sub-themes. First theme about how health professionals were affected by the process has been defined as ''How are healthcare professionals affected during the termination process?''. Second theme about how they acted in the process has been defined as ''What do healthcare professionals do in the termination process?''. Conclusions As a result of our study, it was determined that health professionals working on pregnancy termination were adversely affected and had problems while giving care. In order to prevent adverse effects on healthcare professionals, some facilitator methods are needed to strengthen prevention strategies and facilitate the process for them.

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Perinatal Loss: Experiences of Midwives and Nurses

Cited by 3 publications

References 23 publications

Silent Tears of Midwives: ‘I Want Every Mother Who Gives Birth to Have Her Baby Alive’—A Narrative Inquiry of Midwives Experiences of Very Early Neonatal Death from Tanzania

Silent Tears of Midwives: ‘I Want Every Mother Who Gives Birth to Have Her Baby Alive’—A Narrative Inquiry of Midwives Experiences of Very Early Neonatal Death from Tanzania

Holistic Nursing Care for Perinatal Loss Based on Swanson's Theory of Caring

Looking at pregnancy terminations from the opposite side: the perspective of healthcare professionals

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