Midwives' experiences of witnessing traumatic hospital birth events: A qualitative study

• Published in: Journal of evaluation in clinical practice 2021-08, Vol.27 (4), p.847-857
• Main Authors: Cankaya, Seyhan, Erkal Aksoy, Yasemin, Dereli Yılmaz, Sema
• Format: Article
• Language: English
• Subjects: Childbirth & labor; Coping; Emergency medical care; indirect exposure to trauma; Midwifery; midwives‐nurses; Occupational stress; Post traumatic stress disorder; Qualitative research; stressful childbirth situations; Trauma; vicarious traumatization
• ISSN: 1356-1294; 1365-2753
• DOI: 10.1111/jep.13487

Aims and Objectives The aim of this study was to investigate in detail the traumatic birth experiences of midwives in the delivery rooms, and their attitudes, reactions, and coping strategies. Methods The design of the study is descriptive and the purposive sampling method was used. This approach is ideal for a preliminary exploration of the nature of a phenomenon. Between October 2018 and January 2019, semi‐structured interviews were conducted with a purposeful sample of midwives. The research was carried out with the participation of 29 midwives, who work in labour and birth room. They were asked to describe a particular stressful situation they had experienced during the birth process, their emotions about the event, and their coping strategies and support systems. All interviews were digitally recorded, stored in a database, and transferred to MAX Qualitative Data Analysis 18.1.0 for analysis. Findings As a result of the content analysis, three main themes emerged: psychological impact, defensive practice, and expectations in terms of support from the hospital. It was revealed that, after the traumatic birth, midwives experienced highly emotional exhaustion in the form of sadness, flashbacks, guilt, fear, and empathy, and they performed an increasingly defensive practice. During the interviews, we observed that 19 midwives needed psychological support. Besides, midwives explicitly stated that they were not prepared enough for traumatic events and that most traumatic births were simply ignored in their workplace. Eventually, it was determined that midwives received support mostly from their colleagues in case of a traumatic birth. Conclusion(s) Midwives need to feel valued and be supported by their institutions in coping with emotional stress. Therefore, performing clinical inspections by experienced or specialist midwives may serve as a supporting framework for reducing defensive interventions.