Lyndall Mollart1, Carol Newing, Maralyn Foureur. 1. Antenatal Services, Gosford Maternity Services, Central Coast Health, Northern Sydney Central Coast Area Health Service, PO Box 361, Gosford NSW 2250, Australia. lmollart@nsccahs.health.nsw.gov.au
Abstract
RESEARCH PROBLEM: To investigate the impact of conducting structured antenatal psychosocial assessments (SAPSA) on midwives' emotional wellbeing. The SAPSA includes screening and assessment tools for domestic violence, childhood trauma, drug and alcohol use, depression, and vulnerability factors. PARTICIPANTS AND METHODS: Registered midwives who had conducted the SAPSA with women during the first hospital booking visit at two hospitals in NSW. Data was collected by means of focus group interviews. RESULTS: Four sub-themes were identified that directly impacted upon the midwives' emotional wellbeing: cumulative complex disclosures, frustration and stress, lack of support for midwives and unhealthy coping strategies. DISCUSSION AND CONCLUSIONS: There was a cumulative emotional effect with some midwives utilising unhealthy strategies to cope with feelings of frustration, inadequacy and vicarious trauma. Establishment of structured referral pathways for women and supportive systems for midwives is essential prior to implementing the SAPSA.
RESEARCH PROBLEM: To investigate the impact of conducting structured antenatal psychosocial assessments (SAPSA) on midwives' emotional wellbeing. The SAPSA includes screening and assessment tools for domestic violence, childhood trauma, drug and alcohol use, depression, and vulnerability factors. PARTICIPANTS AND METHODS: Registered midwives who had conducted the SAPSA with women during the first hospital booking visit at two hospitals in NSW. Data was collected by means of focus group interviews. RESULTS: Four sub-themes were identified that directly impacted upon the midwives' emotional wellbeing: cumulative complex disclosures, frustration and stress, lack of support for midwives and unhealthy coping strategies. DISCUSSION AND CONCLUSIONS: There was a cumulative emotional effect with some midwives utilising unhealthy strategies to cope with feelings of frustration, inadequacy and vicarious trauma. Establishment of structured referral pathways for women and supportive systems for midwives is essential prior to implementing the SAPSA.
Authors: V Schmied; N Reilly; E Black; D Kingston; K Talcevska; V Mule; M-P Austin Journal: BMC Pregnancy Childbirth Date: 2020-08-07 Impact factor: 3.007