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CONFERENCE PROCEEDING
'It's just pure gold’: Women’s and midwives’ perspectives of midwifery continuity of care supporting pregnancies after perinatal loss
1
University of Adelaide, School of Psychology, Adelaide, Australia
2
Mater Research Institute, NHMRC Centre for Research Excellence in Stillbirth Stillbirth CRE, South Brisbane, Australia
3
Flinders University, College of Nursing and Health Sciences, Adelaide, Australia
Eur J Midwifery 2026;10(Supplement 1):A297
ABSTRACT
BACKGROUND:
Pregnancy after loss is a traumatic and challenging experience for bereaved parents. Women are frequently booked into fragmented, medicalised care pathways and parents report these do not address their emotional needs. Minimal published research exists about the role of midwifery continuity of care (MCoC) supporting the psychosocial needs of bereaved parents in a subsequent pregnancy.
OBJECTIVES:
To explore; 1) published research of MCoC models providing care in pregnancies after loss; 2) experiences of Australian women choosing MCoC in pregnancy after loss; and 3) Australian midwives’ perceptions of women’s psychosocial needs in pregnancy after loss.
METHODS:
This PhD study comprised three studies: 1) qualitative, meta-aggregative scoping review, 2) longitudinal interview-based study with four women receiving MCoC in pregnancy after loss, and 3) survey of midwives' perceptions of caring for bereaved parents in subsequent pregnancies. Qualitative interviews were analysed using Smith’s Interpretative Phenomenological Analysis (IPA), and survey data analysed using content analysis. Ethical approval: WCHN Human Research Ethics Committee (HRE00249).
RESULTS:
This study is in progress; finalised results available at the conference. Findings from the scoping review showed little published evidence (n=4 studies). While most midwives have cared for mothers in a pregnancy after loss, systemic and organisational factors can hinder adequate psychosocial care. The experiences of bereaved women in a pregnancy after loss indicate that MCoC utilises several trauma-informed care principles to support psychosocial wellbeing.
CONCLUSIONS:
Bereaved mothers value the emotional safety MCoC provides in a subsequent pregnancy, however there is minimal data about utilising this model of care for pregnancy after loss. Understanding midwives’ challenges in providing psychosocial care to bereaved parents stands to improve care satisfaction and wellbeing.
KEY MESSAGE:
Bereaved parents want a sense of control and safety in a pregnancy after loss. How MCoC models can support the psychosocial needs of bereaved parents in a pregnancy after loss needs greater attention. Continuity of care - outcomes 1
Pregnancy after loss is a traumatic and challenging experience for bereaved parents. Women are frequently booked into fragmented, medicalised care pathways and parents report these do not address their emotional needs. Minimal published research exists about the role of midwifery continuity of care (MCoC) supporting the psychosocial needs of bereaved parents in a subsequent pregnancy.
OBJECTIVES:
To explore; 1) published research of MCoC models providing care in pregnancies after loss; 2) experiences of Australian women choosing MCoC in pregnancy after loss; and 3) Australian midwives’ perceptions of women’s psychosocial needs in pregnancy after loss.
METHODS:
This PhD study comprised three studies: 1) qualitative, meta-aggregative scoping review, 2) longitudinal interview-based study with four women receiving MCoC in pregnancy after loss, and 3) survey of midwives' perceptions of caring for bereaved parents in subsequent pregnancies. Qualitative interviews were analysed using Smith’s Interpretative Phenomenological Analysis (IPA), and survey data analysed using content analysis. Ethical approval: WCHN Human Research Ethics Committee (HRE00249).
RESULTS:
This study is in progress; finalised results available at the conference. Findings from the scoping review showed little published evidence (n=4 studies). While most midwives have cared for mothers in a pregnancy after loss, systemic and organisational factors can hinder adequate psychosocial care. The experiences of bereaved women in a pregnancy after loss indicate that MCoC utilises several trauma-informed care principles to support psychosocial wellbeing.
CONCLUSIONS:
Bereaved mothers value the emotional safety MCoC provides in a subsequent pregnancy, however there is minimal data about utilising this model of care for pregnancy after loss. Understanding midwives’ challenges in providing psychosocial care to bereaved parents stands to improve care satisfaction and wellbeing.
KEY MESSAGE:
Bereaved parents want a sense of control and safety in a pregnancy after loss. How MCoC models can support the psychosocial needs of bereaved parents in a pregnancy after loss needs greater attention. Continuity of care - outcomes 1
| eISSN: | 2585-2906 |
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