Midwives' experiences of caring for women's emotional and mental well-being during pregnancy

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dc.contributor.author Fletcher, Antoinette
dc.contributor.author Murphy, Margaret
dc.contributor.author Leahy-Warren, Patricia
dc.date.accessioned 2021-02-22T14:35:00Z
dc.date.available 2021-02-22T14:35:00Z
dc.date.issued 2021-02-01
dc.identifier.citation Fletcher, A., Murphy, M. and Leahy-Warren, P. (2021) 'Midwives' experiences of caring for women's emotional and mental well-being during pregnancy', Journal of Clinical Nursing. doi: 10.1111/jocn.15690 en
dc.identifier.issn 0962-1067
dc.identifier.uri http://hdl.handle.net/10468/11086
dc.identifier.doi 10.1111/jocn.15690 en
dc.description.abstract Aims and Objectives: To explore midwives’ experiences of caring for women’s emotional and mental well‐being during pregnancy. Background: Pregnancy and childbirth is one of the most life changing transitions a woman can encounter and therefore approximately 15‐25% of women will experience a perinatal mental health problem. Providing psychological support to mothers by midwives is acknowledged internationally. The 2016 Irish National Maternity Strategy identifies midwives as being ideally placed to assess women’s emotional needs. The research revealed a paucity of qualitative research from an Irish context in this area, therefore this study addressed this gap in the literature. Design: Qualitative descriptive design. Methods: Semi‐structured interviews were conducted with a purposive sample of 10 midwives’ recruited from the Irish midwifery e‐group. Data were analysed using Burnard (1991) thematic content analysis. Transcripts were coded, and meanings were formulated to reflect significant statements, which were categorised. Categories then evolved into subthemes and eventually three themes emerged using the COREQ checklist. Results: Three salient themes emerged from the data: ‘awareness of Perinatal Mental Health’, ‘discussing emotional well‐being’, and ‘the woman has something to divulge’. The themes convey the midwife’s awareness, recognition and perceptions of mental well‐being during pregnancy. How midwives discuss and assess emotional well‐being, the observational skills they utilise, and what they perceive as the barriers and facilitators to discussing mental well‐being were all identified. Conclusions: Midwives reported an awareness and acceptance that women’s emotional health was as important as their physical health. Midwives utilised every antenatal opportunity to raise awareness about perinatal mental health, whilst also identifying key challenges in getting women to talk. Relevance to Clinical Practice: Care pathways for assessing and identifying Perinatal Mental Health issues should be available in all maternity services. More support for midwives is required to debrief, which would assist them in supporting women’s emotional well‐being. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher John Wiley & Sons, Inc. en
dc.rights © 2021, John Wiley & Sons, Inc. This is the peer reviewed version of the following article: Fletcher, A., Murphy, M. and Leahy-Warren, P. (2021) 'Midwives' experiences of caring for women's emotional and mental well-being during pregnancy', Journal of Clinical Nursing, doi: 10.1111/jocn.15690, which has been published in final form at https://doi.org/10.1111/jocn.15690. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. en
dc.subject Ireland en
dc.subject Midwives en
dc.subject Emotional well-being en
dc.subject Mental health en
dc.subject Pregnancy en
dc.subject Qualitative en
dc.subject Women en
dc.title Midwives' experiences of caring for women's emotional and mental well-being during pregnancy en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Margaret Murphy, Nursing & Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: mgt.murphy@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2022-02-01
dc.date.updated 2021-02-12T10:00:52Z
dc.description.version Accepted Version en
dc.internal.rssid 554898383
dc.internal.pmid 33527534
dc.contributor.funder Nursing and Midwifery Planning and Development Unit, Midlands, Ireland en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Journal of Clinical Nursing en
dc.internal.copyrightchecked Yes
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress mgt.murphy@ucc.ie en
dc.internal.IRISemailaddress patricia.leahy@ucc.ie en
dc.internal.bibliocheck In press. Check vol / issue / page range. Amend citation and copyright statement as necessary. en
dc.identifier.eissn 1365-2702

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