Midwives’ experience of delivery care in late foetal death: A qualitative study

Involuntary Pregnancy Loss and Nursing Care: A Meta-Ethnography

“…Quality assessment of included studies [25]. 1 2 3 4 5 6 7 8 9 10 Nallen (2006,2007) † [26,27] -Nash (2018) [28] - Willis (2019) [29] - McCreight (2005) [30] - Beaudoin and Ouellet (2018) [31] Hutti (2016) [32] - Roehrs et al (2008) [33] Martinez-Serrano et al (2018) [34] -Jones and Smythe (2015) [35] Jonas-Simpson et al (2010) [36] -Abbreviations: yes-unclear no; critical appraisal questions: (1) Is there congruity between the stated philosophical perspective and the research methodology? (2) Is there congruity between the research methodology and the research question or objectives?…”

“…Moreover, they could also be involved in the care of families with pregnancy loss while others simultaneously could not [26][27][28]32,33]. This situation required an emotional and behavioural adjustment with respect to listening, physical presence, and handling privacy and intimacy on the way from one room to another, which was hard for them [26][27][28]34]. "The worst is having a labour patient at the same time, if you have a demise: being happy in one room and sad in another and you don't want to get the rooms wrong, and it is really hard."…”

“…"The worst is having a labour patient at the same time, if you have a demise: being happy in one room and sad in another and you don't want to get the rooms wrong, and it is really hard." Nurse [34]. Hutti et al (2016) [32] reported that the development of that ability to adapt their emotional switches from care of the loss to another situation not so emotionally demanding depended on the idiosyncrasy of the services, being more difficult for delivery nurses due to such opposite emotions.…”

“…Midwives and nurses reported a lack of preparation and knowledge regarding how to care for these parents, how to communicate with them, and how to behave besides a scarcity of tools to manage the emotional demands of parents and their own [26][27][28][29][30][31][32][33][34][35]. This caused them to feel insecure when caring [32].…”

“…Some of them reported a lack of appropriate communication skills, and they found it difficult to know what, when, and how much to say; how to approach families; and how much to get involved [26][27][28][29][30][31][33][34][35][36]. "My personal difficulty is this: what do you say to this woman?…”