Midwives' support for parents following stillbirth: How they practise and resources they need from a phenomenological perspective.

Autor: de Los Ángeles Linares-Gallego M; Maternity Unit, Complejo Hospitalario de Jaén, Jaén, Spain., Martínez-Linares JM; Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Granada, Granada, Spain., Del Mar Moreno-Ávila I; Maternity Unit, Hospital Universitario Poniente, El Ejido, Almería, Spain., Cortés-Martín J; Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Granada, Granada, Spain.
Jazyk: angličtina
Zdroj: Journal of advanced nursing [J Adv Nurs] 2024 Aug 11. Date of Electronic Publication: 2024 Aug 11.
DOI: 10.1111/jan.16385
Abstrakt: Aim: To explore the perceptions and experiences of midwives caring for couples who experience a stillbirth.
Design: Qualitative study based on Gadamer's hermeneutic phenomenology.
Methods: This study was conducted with midwives (n = 18) at the birth unit of a third-level public hospital in Jaén (Spain) in 2023. Personal semi-structured interviews were recorded in audio for later transcription by two researchers following steps described by Fleming.
Results: Two themes were identified as important aspects of the practise of midwives in a situation of the birth of a stillborn child: (1) the importance of each action of the midwife, and (2) the availability of resources determines the care provided.
Conclusions: Having a stillbirth is a very complex experience, in which the psychological support and human and material resources involved are the basic tool for the care of these families. Acknowledging limitations of the available resources, the assistance and care provided by midwives are in line with the clinical practice guidelines, which can have an emotional impact on them.
Implications for the Profession And/or Patient Care: The care to be provided in stillbirth requires appropriate human and material resources for these families. Midwifery and nursing professionals are in a unique position for acting in cases of families with a stillbirth, updated protocols and, in general, the coordination of the different agents involved within the healthcare system. WHAT PROBLEM DID THE STUDY ADDRESS?: The midwives´ experiences in cases which end with the delivery of a stillborn. WHAT WERE THE MAIN FINDINGS?: Each action of the midwife is as important as the availability of resources to offer the most appropriate care. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: In each woman who receives the care of a midwife who attends the birth of a stillborn.
Reporting Method: COREQ checklist.
Patient or Public Contribution: No patient or public contribution occurred for this study as this research focused on exploring staffs' perspectives from the specific viewpoint of their personal experience.
(© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz: