Psychological well-being and coping strategies of midwives during the COVID-19 pandemic in Indonesia: A qualitative study

Background: The COVID-19 pandemic has affected many individuals, including midwives. Objectives: This study aimed to explore the Indonesian midwives' psychological well-being and to investigate their coping strategies during the COVID-19 pandemic. Methods: This qualitative study investigated 10 midwives, from 9 provinces in Indonesia, who provided care during the COVID-19 pandemic. Semi-structured online interviews were conducted. Prior to the interviews, an online survey was distributed to identify potential participants. The interview data were analyzed using thematic analysis. Results: This study summarized the midwives' psychological distress and coping strategies during the COVID-19 pandemic, categorizing the information into four themes and fourteen subthemes: (a) "I am worried," (b) professional and personal responsibilities, (c) coping strategies, and (d) policy and expectations were the main themes emerged. Conclusions: Midwives experienced challenging situations that negatively affected their psychological state, due to the COVID-19 pandemic. The biopsychosocial and cultural contexts influenced the midwives' psychological well-being and coping strategies. Midwives should be empowered to prevent and manage their psychological distress, as well as their patients' concerns, during this unprecedented period.