Intrapartum fetal death and doctors; A qualitative exploration

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dc.contributor.author McNamara, Karen
dc.contributor.author Meaney, Sarah
dc.contributor.author O'Donoghue, Keelin
dc.date.accessioned 2018-04-16T13:54:14Z
dc.date.available 2018-04-16T13:54:14Z
dc.date.issued 2018
dc.identifier.citation McNamara, K., Meaney, S. and O'Donoghue, K. (2018) 'Intrapartum fetal death and doctors; A qualitative exploration', Acta Obstetricia Et Gynecologica Scandinavica, In Press, doi:10.1111/aogs.13354 en
dc.identifier.startpage 1 en
dc.identifier.endpage 23 en
dc.identifier.issn 0001-6349
dc.identifier.uri http://hdl.handle.net/10468/5771
dc.identifier.doi 10.1111/aogs.13354
dc.description.abstract Introduction: The death of an infant during a pregnancy is profoundly traumatic, both for the parents and the involved healthcare professionals. Most research focuses on the impact of antenatal stillbirth with very little research examining the specific impact an intrapartum fetal death has on obstetricians. The aim of this study was to provide an in‐depth qualitative exploration of the attitudes and responses that Irish Obstetricians have following direct involvement with an intrapartum fetal death. Material and methods: Qualitative semi‐ structured interviews were used. Interpretative phenomenology was used for data analysis. The setting was a tertiary university maternity unit in Ireland with 8200 deliveries per year. Ten obstetricians were purposively sampled. The main outcome measures were the attitudes and responses of Irish obstetricians following exposure to an intrapartum death. Results: Obstetricians were profoundly and negatively affected by a personal involvement with an intrapartum death. Analysis of the data revealed two superordinate themes; the doctor as a person, and supporting each other. The doctor as person was characterised by two subordinate themes; emotional impact and frustration. Supporting each other was also characterised by two subordinate themes; an unmet need and incidental support and what might work. Conclusions: Obstetric doctors who are directly involved in an intrapartum death are the second victims of this event and this is something that needs to be acknowledged; by the public, by the healthcare system, by the media and by the doctors themselves. The development of effective emotional support interventions for all obstetricians is highly important. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Wiley en
dc.relation.uri https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1111/aogs.13354
dc.rights © This article is protected by copyright. All rights reserved. This is the peer reviewed version of the following article: McNamara, K., Meaney, S. and O'Donoghue, K. (2018), Intrapartum fetal death and doctors; A qualitative exploration. Acta Obstet Gynecol Scand. Accepted Author Manuscript., which has been published in final form at https://doi.org/10.1111/aogs.13354. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. en
dc.subject Intrapartum fetal death en
dc.subject Obstetrician en
dc.subject Staff support system en
dc.subject Emotional stress en
dc.subject Emotional impact en
dc.title Intrapartum fetal death and doctors; A qualitative exploration en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Karen McNamara, Obstetrics & Gynaecology, University College Cork, Cork, Ireland. +353-21-490-3000 Email: karen.mcnamara@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 2019-04-02
dc.date.updated 2018-04-16T13:40:32Z
dc.description.version Accepted Version en
dc.internal.rssid 434076206
dc.contributor.funder Science Foundation Ireland en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Acta Obstetricia Et Gynecologica Scandinavica en
dc.internal.copyrightchecked No !!CORA!! en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress karen.mcnamara@ucc.ie en
dc.internal.bibliocheck In Press April 2018. Update copyright statement, citation details, page numbers, add vol, issue en
dc.relation.project info:eu-repo/grantAgreement/SFI/SFI Research Centres/12/RC/2272/IE/Irish Centre for Fetal and Neonatal Translational Research (INFANT)/ en


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