Midwifery Practice: Core Topics 3 by Jo Alexander, Carolyn Roth, Valerie Levy (eds.)

By Jo Alexander, Carolyn Roth, Valerie Levy (eds.)

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Women may seek a respectful hearing or perhaps an apology when they feel that something has gone wrong. A few women may need counselling or psychiatric help because of continuing or unresolved distress. There is a general awareness among maternity care-givers that, alongside the general desire to talk about the experience of the labour and birth (DiMatteo et a/1993), women may wish to clarify what happened or discuss the implications of pregnancy and birth events for future childbearing. In a recent national postal survey of a representative sample of women who had given birth in June and July 1995 in England and Wales, one question asked whether they had been able to talk to a member of staff about their birth.

He suggests that the memories of pain, anxiety and sorrow become subsumed beneath the other research demands. This process, which eventually anaesthetises the researcher to the pain, is assisted by ascribing any difficulties to 'personal incompetence' (1979: 27). Whether this anaesthesia is deliberate, Freilich is uncertain, but he recognises 'self-deception' as a coping strategy. Unlike Freilich, Gans (1982) discusses the researcher's difficulty, but it is in the context of maintaining the participant observer's role and the necessary deception.

The couple whose baby dies neonatally have been said to experience a healthier grief reaction as a result of the care and time that are invested by neonatal staff in the care of both them and their baby (Farnsworth 1996). This anecdotal observation was tested retrospectively through semistructured interviews with 19 couples who had lost a baby through either intrauterine death (IUD) or through neonatal death (NND) (Schaap eta/ 1997). The grieving of the IUD parents had not progressed as well as those in the NND group.

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