The impact of intrapartum fetal death and other serious adverse perinatal events on healthcare professionals and the maternity services

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dc.contributor.advisor O'Donoghue, Keelin en
dc.contributor.advisor Greene, Richard A. en McNamara, Karen 2020-02-07T12:40:34Z 2020-02-07T12:40:34Z 2019 2019
dc.identifier.citation McNamara, K. 2019. The impact of intrapartum fetal death and other serious adverse perinatal events on healthcare professionals and the maternity services. PhD Thesis, University College Cork. en
dc.identifier.endpage 300 en
dc.description.abstract Obstetrics and midwifery are high risk specialties. Sometimes and even despite the provision of the best medical care possible, serious adverse events do occur. While patients and service users of the Irish maternity services bear the bulk of the burden of harm from these adverse events, the healthcare staff who are also involved in these cases can be substantially affected. Stillbirth, which encompasses both antenatal and intrapartum death, is one of the more serious adverse events or outcomes that can happen during a pregnancy. Existing research focuses largely on the impact that antenatal stillbirth has on obstetricians and midwives, with no research focusing specifically on the impact that intrapartum fetal death has on maternity service healthcare professionals. Much is also now known and acknowledged about the increasing levels of burnout and compassion fatigue that are affecting healthcare professionals. In fact, it has been recognised that healthcare professionals are more likely to experience burnout than the general workforce and it is now estimated that burnout affects 1 in 2 doctors. Healthcare professionals in the maternity services are not exempt from these issues. What is apparent, however, is that relative to the literature pertaining to the general medical specialties, there is a clear paucity of research investigating the effectiveness of available support strategies for maternity healthcare professionals to access either in the aftermath of an adverse event or to help them tackle burnout in the longer term. This thesis focuses on the specific impact that intrapartum death, and other serious perinatal adverse events have on healthcare professionals. I have utilised both quantitative and qualitative research methods to describe in detail the scale of the impact, both personally and professionally, that these events have on the involved healthcare professionals. Obstetricians and midwives are profoundly and negatively affected by a personal involvement in an intrapartum death. Following a review of the existing literature, I identified a substantial lack of effective support strategies for maternity healthcare professionals to access to help them with the impact of adverse events. This finding was echoed by my research with the cohort of obstetricians and midwives who participated in my studies. By and large they had received no training in dealing with intrapartum death nor had they received any education on self-care strategies. This thesis concludes with two studies, aimed at addressing this deficit and these studies are an evaluation of both local and national support strategies for maternity healthcare professionals to potentially utilise on an ongoing basis. Finally, I discuss the implications that my research has on clinical practice, and I discuss the possibilities for future research that may potentially improve the support that maternity healthcare professionals are given in the aftermath of these adverse events. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2019, Karen McNamara. en
dc.rights.uri en
dc.subject Intrapartum death en
dc.subject Obstetrics en
dc.subject Adverse perinatal events en
dc.subject Burnout en
dc.subject Maternity services en
dc.subject Support structures en
dc.title The impact of intrapartum fetal death and other serious adverse perinatal events on healthcare professionals and the maternity services en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname PhD en
dc.internal.availability Full text available en Not applicable en
dc.description.version Accepted Version
dc.description.status Not peer reviewed en Medicine en Obstetrics and Gynaecology en
dc.check.type No Embargo Required
dc.check.reason Not applicable en
dc.check.opt-out Not applicable en
dc.thesis.opt-out false
dc.check.embargoformat Embargo not applicable (If you have not submitted an e-thesis or do not want to request an embargo) en
dc.internal.conferring Spring 2020 en

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© 2019, Karen McNamara. Except where otherwise noted, this item's license is described as © 2019, Karen McNamara.
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