‘There is trauma all round’: A qualitative study of health workers’ experiences of caring for parents after stillbirth in Kenya and Uganda

Mills, Tracey A; Ayebare, Elizabeth; Mweteise, Jonan; Nabisere, Allen; Mukhwana, Raheli; Nendela, Anne; Omoni, Grace; Wakasiaka, Sabina; Lavender, Tina

doi:10.1016/j.wombi.2022.02.012

Cited by 5 publications

(3 citation statements)

References 28 publications

(30 reference statements)

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“…Furthermore, grief counselling and better communication skills may provide more coping strategies, as one study found with healthcare workers experiencing less anxiety, increased confidence, and better relationship skills [ 54 ]. A supportive organizational ethos and change in culture from ‘blame’ to support would assist midwives in adjusting, minimizing psychological distress, and being better equipped to provide quality care [ 55 , 56 ].…”

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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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%

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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“…Die häufigsten peripartalen Traumen sind fetale Komplikationen und ein IUFT. Diese Traumata sind besonders relevante Auslöser für Stressrektionen, insbesondere bei fehlender Ausbildung des Personals zur Trauerbegleitung oder Nachbearbeitung [37][38][39][40]. Aus den Ergebnissen der Auswertung lässt sich rückschließen, je länger die Berufserfahrung und je höher die Versorgungsstufe eines Perinatalzentrums, umso häufiger erleben Geburtshelfer*innen eines dieser peripartalen Traumata in ihrem beruflichen Alltag.…”

Section: Diskussionunclassified

„Wer kümmert sich um uns?“ Ergebnisse einer Querschnittsuntersuchung zur psychosozialen Gesundheit von Geburtshelfer*innen und Hebammen nach traumatischen Geburtserlebnissen

Hüner,

Kehl,

Stelzl

et al. 2024

Z Geburtshilfe Neonatol

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Zusammenfassung Hintergrund: Traumatische Geburten führen nicht nur zu emotionalem Stress für die werdenden Eltern, sondern können auch die psychosoziale Gesundheit von Hebammen und Geburtshelfer*innen aufgrund ihrer beruflichen Anforderungen beeinträchtigen. Ziel der Studie: Evaluation des Einflusses traumatischer Geburtserlebnisse auf die psychosoziale Gesundheit von geburtshilflichem Gesundheitspersonal. Methodik: Querschnittsuntersuchung unter Anwendung validierter Messinstrumente (Impact of Event Scale Revised IES-R, Copenhagen Burnout Inventory CBI) und Erhebung des posttraumatischen Wachstums (PGI-SF) durch eine Online-Befragung von Hebammen und Geburtshelfer*innen im deutschsprachigen Raum. Ergebnisse: Die Studie umfasst 700 Teilnehmer*innen mit peripartalen und/oder persönlichen Traumata. Die 33 Teilnehmer*innen (6,3% der 528 Teilnehmer*innen mit ausgefülltem IES-R ) mit einer posttraumatische Belastungsstörung (PTBS) erhielten seltener Unterstützung durch Kolleg*innen (p=0,007) und zogen häufiger Konsequenzen am Arbeitsplatz (p<0,001) als Teilnehmer*innen ohne PTBS. Ein moderates bis hohes Burnout-Level ergab sich für 66,2% der 542 Teilnehmer*innen mit ausgefülltem CBI. Bei 75,9% der 528 Teilnehmer*innen mit ausgefülltem PGI-SF zeigte sich durch das Erleben eines Traumas ein persönliches Wachstum. Schlussfolgerung: Die psychosoziale Gesundheit von Hebammen und Geburtshelfern ist durch traumatische Geburtserlebnisse gefährdet. Screening-Untersuchungen und das Angebot kollegialer und professioneller Nachbesprechungen zur Stärkung der Resilienz sind wesentliche präventive Maßnahmen.

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“…Stillbirth and its associated psychosocial and economic costs are critical global health problems affecting disproportionately parents, healthcare providers and communities in low-and middle-income countries (LMICs) [1][2][3] . Over 50% of stillbirths in sub-Saharan Africa are antepartum and the majority are linked to placental failure 4 .…”

Section: Introductionmentioning

confidence: 99%

Standardization and quality control of Doppler and fetal biometric ultrasound measurements in low‐income setting

Ali

Byamugisha

Kawooya

et al. 2023

Ultrasound in Obstet & Gyne

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What are the novel findings of this work?This is the first study in a low-resource setting to demonstrate that the quality of pulsed-wave Doppler and fetal biometry ultrasound measurements can be assessed reliably using freely available objective evaluation tools. What are the clinical implications of this work?Well-trained healthcare providers in underserved regions can perform Doppler and fetal biometry scans with consistency. The impact of in-service retraining and clinical audits on the quality of scans should be evaluated in future studies.

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‘There is trauma all round’: A qualitative study of health workers’ experiences of caring for parents after stillbirth in Kenya and Uganda

Cited by 5 publications

References 28 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

„Wer kümmert sich um uns?“ Ergebnisse einer Querschnittsuntersuchung zur psychosozialen Gesundheit von Geburtshelfer*innen und Hebammen nach traumatischen Geburtserlebnissen

Standardization and quality control of Doppler and fetal biometric ultrasound measurements in low‐income setting

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