Psychological trauma of nurse-midwives following shoulder dystocia complicated by neonatal morbidity or mortality

This qualitative study explores the psychological experience of certified nurse-midwives (CNMs) following hospital births complicated by shoulder dystocia with adverse neonatal outcomes. Despite the severity and unpredictability of shoulder dystocia, little research addresses provider emotional trauma after such events. Using in-depth interviews, we examined how CNMs process, integrate, and recover from these experiences. Findings highlight significant emotional distress, professional bereavement, and the impact of cultural norms that discourage acknowledgment of clinician suffering. Results underscore the need for evidence-based strategies to support psychological resilience and collegial care following adverse obstetric outcomes.