Abstract
Problem/Background
Perinatal death has far reaching emotional effects for all involved in this devastating
event. The opportunity for learning as a result of this catastrophe, however, remains
unexplored.
Aim
To explore midwives’ experiences of caring through, and learning from, perinatal death,
to better inform the effective planning and delivery of education that optimises both
midwifery and self-care.
Methods
A naturalistic interpretive multiple case study design. Seventeen midwives, located
in Australia, participated in an online group activity hosted as a blog, followed
by telephonic focus groups and in-depth email interviews.
Findings
Thematic data analysis revealed seven major themes: Grappling with the reality of
perinatal death; Struggling with personal and professional heartache; Seeking the
space to grieve as a professional; Being with the woman and her family; Finding a
new purpose; Strengthened through support; and Developing the courage to care.
Discussion
The initial turmoil and impact of loss reflected the catastrophic nature of perinatal
death. Midwives uncovered a journey to acceptance and learning, realising a determination
to enhance expertise and discovering value in experiential knowledge. Insecurity regarding
competence and confidence to manage perinatal death and bereavement care was highlighted.
However, sharing their stories revealed professional fulfilment, personal strength,
and solidarity amongst midwives who have endured similar experiences.
Conclusion
A coordinated approach to support and the dissemination of experiential knowledge
and learning could be developed within an online model of narrative sharing and discussion.
Debriefing, support and sharing of expertise in this way may foster engagement within
and beyond the workplace.
Keywords
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Article info
Publication history
Published online: February 26, 2020
Accepted:
February 17,
2020
Received in revised form:
January 18,
2020
Received:
September 30,
2019
Identification
Copyright
© 2020 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
