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What do midwives fear?

Hannah Grace Dahlen1, Shea Caplice2

  • 1University of Western Sydney, School of Nursing and Midwifery, Locked Bag 1797, Penrith South DC, NSW 2751, Australia.

Women and Birth : Journal of the Australian College of Midwives
|July 29, 2014
PubMed
Summary
This summary is machine-generated.

Midwives in Australia and New Zealand fear infant death and missing harm, impacting their care. Addressing these fears through targeted workshops can enhance midwife confidence and improve birth experiences.

Keywords:
BirthFearMidwivesObstetric emergencyRisk

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Area of Science:

  • Maternal Health
  • Midwifery Practice
  • Healthcare Provider Well-being

Background:

  • While maternal fear of childbirth is documented, less is known about healthcare providers' anxieties.
  • Provider fears may influence the quality of care and birth experiences for women.

Purpose of the Study:

  • To identify the primary fears experienced by midwives in Australia and New Zealand.
  • To understand how these fears relate to the care of childbearing women.

Main Methods:

  • Data collected from over 700 midwives across 17 workshops (2009-2011).
  • Midwives anonymously reported their top fears.
  • Fears were categorized into 8 major themes.

Main Results:

  • Top reported fears included infant death (n=177), missing harm (n=176), and obstetric emergencies (n=114).
  • Other significant fears involved maternal death, scrutiny, causing negative experiences, the unknown, and loss of passion.
  • Student midwives feared lack of knowledge; homebirth midwives feared blame.

Conclusions:

  • Consistent fear themes emerged across diverse midwife groups.
  • Workshops addressing grief, loss, and fear management can reduce midwife anxiety.
  • Emergency skills training, particularly for shoulder dystocia and postpartum hemorrhage (PPH), can boost confidence.