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Midwives' perspectives and perceptions in relation to perinatal psychotic-like experiences: a qualitative study
Molly Turgoose1,2, William Sellwood1, Elizabeth Chamberlain3
1Doctorate in Clinical Psychology, Division of Health Research, Lancaster University, Lancaster, UK.
UK midwives want to support mothers with psychotic-like experiences (PLEs) but face systemic barriers. Enhanced training and support are crucial for midwives to effectively assist women during the perinatal period.
Area of Science:
- Perinatal mental health
- Psychiatric nursing
- Midwifery practice
Background:
- Psychotic-like experiences (PLEs) are subclinical psychosis symptoms, more prevalent in the perinatal period.
- Midwives face challenges supporting mothers with mental health issues.
- Effective midwife support for maternal PLEs is essential.
Purpose of the Study:
- To explore UK midwives' views on mothers' perinatal psychotic-like experiences.
- To understand barriers and facilitators to midwife support for maternal PLEs.
Main Methods:
- Qualitative study utilizing semi-structured interviews.
- Ten UK midwives were recruited online.
- Thematic analysis was applied to interview transcripts.
Main Results:
- Four themes emerged: difficulty identifying PLEs, overwhelming nature of PLEs for mothers and midwives, midwives' sense of responsibility, and systemic insecurity.
- Midwives expressed a strong desire to support mothers but identified numerous obstacles.
- Systemic factors, including lack of training, guidance, supervision, and reflective practice, hinder effective support.
Conclusions:
- Midwives are motivated to support mothers with PLEs but require improved training and systemic support.
- Addressing systemic safety and providing adequate supervision are vital for midwives.
- Enhanced resources and clear guidance are necessary for midwives to confidently manage maternal PLEs.
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