The experience of vasa praevia for Australian midwives: A qualitative study

Women and Birth : Journal of the Australian College of Midwives
Nasrin JavidCaroline S E Homer

Abstract

Vasa praevia can cause stillbirth or early neonatal death if it is not diagnosed antenatally and managed appropriately. Experiencing undiagnosed vasa praevia during labour is challenging and traumatic for women and their care providers. Little is known about the experiences of midwives who care for these women. To investigate the experience of Australian midwives caring for women with undiagnosed vasa praevia during labour and birth. A qualitative descriptive study was conducted with midwives in Australia who had cared for at least one woman with vasa praevia during 2010-2016. Semi-structured in-depth telephone interviews were conducted and analysed using thematic analysis. Twelve of the 20 midwives interviewed were involved in a neonatal death and/or near-miss due to vasa praevia. There was one over-arching theme, which described the 'devastating and dreadful experience' for the midwives. This had two inter-related categories of feeling the personal impacts and addressing the professional processes. Feeling scared, shocked, and guilty described how the experience took its toll on the midwives personally. The professional processes included working in organised chaos; feeling for the parents; finding communication to be hard; a...Continue Reading

Citations

Dec 24, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Nasrin JavidCaroline S E Homer
Oct 3, 2020·Journal of Evaluation in Clinical Practice·Seyhan CankayaSema Dereli Yılmaz
Dec 22, 2020·American Journal of Obstetrics & Gynecology MFM·Sureka PavalagantharajahRohan D'Souza

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