Midwifery · 2026
Psychological experiences of midwives during their first involvement in care following intrauterine foetal death: A mixed methods study in Japan.
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Takenaka Nana, Otsuki Eliko
Аннотация
BACKGROUND: Providing care following intrauterine foetal death (IUFD) can be emotionally challenging for midwives, particularly during early professional practice. However, little is known about how midwives experience and cope with their first involvement in IUFD care.
AIM: To examine midwives' retrospective accounts of their first IUFD care experience within the first 3 years of practice and explore their coping processes.
METHODS: A convergent mixed methods design was used. Forty-one midwives in Japan completed questionnaires assessing emotional responses to their first IUFD care and professional quality of life using the Professional Quality of Life Scale, Version 5. Eight participants participated in semi-structured interviews. Quantitative and qualitative data were analysed independently and integrated using joint displays.
FINDINGS: Participants retrospectively reported emotional distress, confusion, and helplessness during their first experience of providing care following IUFD. Participants with higher current secondary traumatic stress (STS) scores had higher burnout scores and retrospectively reported stronger emotional responses to their first IUFD care experience. Qualitative findings revealed uncertainty regarding appropriate communication, distress associated with witnessing maternal grief, and shock when encountering the stillborn baby. Coping processes involved support from senior midwives, emotional self-regulation, and gradual reframing of their experiences.
CONCLUSION: Providing care following IUFD during the early stages of midwifery practice can be emotionally challenging. Supportive workplace environments, opportunities for reflection, and educational strategies that support emotional coping may help midwives manage emotionally demanding experiences. These findings should be interpreted cautiously given the exploratory nature of the study and the relatively small, self-selected sample.
AIM: To examine midwives' retrospective accounts of their first IUFD care experience within the first 3 years of practice and explore their coping processes.
METHODS: A convergent mixed methods design was used. Forty-one midwives in Japan completed questionnaires assessing emotional responses to their first IUFD care and professional quality of life using the Professional Quality of Life Scale, Version 5. Eight participants participated in semi-structured interviews. Quantitative and qualitative data were analysed independently and integrated using joint displays.
FINDINGS: Participants retrospectively reported emotional distress, confusion, and helplessness during their first experience of providing care following IUFD. Participants with higher current secondary traumatic stress (STS) scores had higher burnout scores and retrospectively reported stronger emotional responses to their first IUFD care experience. Qualitative findings revealed uncertainty regarding appropriate communication, distress associated with witnessing maternal grief, and shock when encountering the stillborn baby. Coping processes involved support from senior midwives, emotional self-regulation, and gradual reframing of their experiences.
CONCLUSION: Providing care following IUFD during the early stages of midwifery practice can be emotionally challenging. Supportive workplace environments, opportunities for reflection, and educational strategies that support emotional coping may help midwives manage emotionally demanding experiences. These findings should be interpreted cautiously given the exploratory nature of the study and the relatively small, self-selected sample.