title: Midwives' emotional wellbeing: impact of conducting a structured antenatal psychosocial assessment (SAPSA).
abstract: OBJECTIVE
  To investigate the impact of conducting structured antenatal psychosocial assessments (SAPSA) on midwives' emotional wellbeing. The SAPSA includes screening and assessment tools for domestic violence, childhood trauma, drug and alcohol use, depression, and vulnerability factors.
  
  
  METHODS
  Registered midwives who had conducted the SAPSA with women during the first hospital booking visit at two hospitals in NSW. Data was collected by means of focus group interviews.
  
  
  RESULTS
  Four sub-themes were identified that directly impacted upon the midwives' emotional wellbeing: cumulative complex disclosures, frustration and stress, lack of support for midwives and unhealthy coping strategies.
  
  
  CONCLUSIONS
  There was a cumulative emotional effect with some midwives utilising unhealthy strategies to cope with feelings of frustration, inadequacy and vicarious trauma. Establishment of structured referral pathways for women and supportive systems for midwives is essential prior to implementing the SAPSA.
authors.affiliation: Antenatal Services, Gosford Maternity Services, Central Coast Health, Northern Sydney Central Coast Area Health Service, PO Box 361, Gosford NSW 2250, Australia. lmollart@nsccahs.health.nsw.gov.au
authors.forename: Lyndall
authors.initials: L
authors.lastname: Mollart
authors.forename: Carol
authors.initials: C
authors.lastname: Newing
authors.forename: Maralyn
authors.initials: M
authors.lastname: Foureur
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000739:Anecdotes as Topic; D002055:Burnout, Professional / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008875:Middle Aged; D008880:Midwifery / Q000379:methods*; D009517:New South Wales; D024802:Nurse's Role / Q000523:psychology*; D009723:Nurse-Patient Relations; D011181:Postnatal Care / Q000523:psychology*; D011795:Surveys and Questionnaires; D016526:Workload / Q000523:psychology*