Midwifery Experiences During Two Major Earthquakes in Türkiye: Challenges and Lessons Learned - A Qualitative Study.

Abstract

Objectives: This study aims to identify midwives' post-earthquake caregiving experiences.

Methods: A phenomenological study was undertaken in May-June 2023. The participants of the study consisted of 15midwives who were included in the study with the purposeful sampling method and volunteered to provide care during the earthquake. Data were collected by an in-depth interview method using a demographic information form and a semi-structured interview form. Thematic analysis was conducted on interview transcripts.

Results: The research identified 2main themes: difficulties in managing midwifery care and the psychological impact of the earthquake on midwives. Challenges included issues with disaster organization, management, and coordination; communication gaps; insufficient medical supplies; harsh environmental conditions; inability to fulfill basic needs; lack of disaster-related knowledge and experience among midwives; and the overall survival conditions of disaster victims. The disaster caused several psychological effects on midwives, including shock, surprise, sadness, confusion, feelings of inadequacy, insomnia upon returning from the disaster area, nightmares, difficulty adapting, guilt about returning, feelings of helplessness, and experiences of loss and mourning.

Conclusions: This study detailed midwives' experiences during disasters, difficulties, and barriers to effective care. It is crucial to record midwives' experiences during disasters and use this information and solutions to prepare for future disasters. Disaster preparedness training for midwives should be planned to increase physical and emotional resilience.