Multifetal pregnancy reduction: experiences of the midwife
Isabelle Gough, Julia BoonBackground/Aims
Multiple pregnancies have become increasingly prevalent. Multifetal pregnancy reduction is known to decrease maternal and fetal mortality, but also carries significant risks and psychological impacts. This study's aim was to explore the lived experiences of midwives who have cared for women following multifetal pregnancy reduction.
Methods
This phenomenological qualitative study involved two NHS midwives who had provided care for women undergoing multifetal pregnancy reduction in the 3 years preceding the study. Data were collected through semi-structured interviews and analysed thematically.
Results
The participants reported significant emotional strain, including internal conflicts and empathy challenges. A lack of formal training affected their preparedness and confidence, relying instead on self-initiated learning and shared experiences. There were notable challenges in engaging the multidisciplinary team.
Conclusions
This study highlighted significant gaps in the education and support provided to the participant midwives caring for women after multifetal pregnancy reduction. Further research is needed to explore and address these gaps.
Implications for practice
Midwives require enhanced emotional support, specialised education on multifetal pregnancy reduction and stronger multidisciplinary collaboration to improve their wellbeing and the quality of care.