Exposure to traumatic events at work, posttraumatic symptoms and professional quality of life among midwives

- Compassion satisfaction is very high amongst a cohort of Israeli midwives.
- High compassion satisfaction ratings might help mitigate feelings of compassion fatigue, which is associated with PTSD symptoms.
- Compassion is critical for midwives, and as such should be continually practiced and improved.
- Traumatic events experienced at the workplace mainly included faults, complications and massive bleeding.
- The number of previous of traumatic events did not appear to be a significant predictor of PTSD symptoms.

Objectivein their line of duty, midwives are often exposed to traumatic births that may lead to symptoms of compassion fatigue (CF), which includes burnout (BO) and secondary traumatic stress (STS).Conversely, midwives derive pleasure and great satisfaction in seeing the positive effect they have on their clients. This experience is known as compassion satisfaction (CS). Together, CS and CF comprise the professional quality of life (ProQOL). The aim of this paper was to study midwives' professional quality of life and traumatic experiences. The highly stressful environment of midwives may also include primary exposure to traumatic experiences and therefore PTSD levels were also assessed.Methodthe participants (N=93) were professional midwives from four medical centers in Israel. The participants answered selfreport questionnaires that assessed their ProQOL and PTSD symptoms.Findingsresults indicated relatively high levels of CS which may mitigate, at least to some degree, the negative aspects of CF. PTSD levels significantly and positively correlated with STS and BO. Sixteen per cent presented with PTSD symptoms of clinical significance. Also, seniority was significantly and positively correlated with BO and PTSD symptoms.Conclusionshigh ProQOL was found amongst the participants, with more than 74% scoring on the high range of CS. Nevertheless, we recommend further research and implementing strategies to maintain or further enhance CS and decrease CF levels. Finally, a more comprehensive understanding of the development of PTSD amongst midwives is vital in order to minimize its occurrence in the future.