Day-to-day operating brief
What Bereavement Midwife (Pregnancy loss) work looks like in practice
A Bereavement Midwife supports women, birthing people and families experiencing pregnancy loss, stillbirth or neonatal death while contributing registered midwifery expertise. The contract should identify clinical setting, caseload, on-call or follow-up work, professional registration, consent, memory-making choices, post-mortem and tissue-pathway coordination, funeral information, lactation advice within competence, interpreter access, multidisciplinary review, incident processes, staff education and secure maternity records. It should distinguish clinical decisions from family liaison and state when obstetric, neonatal, pathology, chaplaincy or mental-health expertise is required. Specialist bereavement input can begin during diagnosis, continue through birth and extend into results or review appointments. The midwife may coordinate memory boxes, photography, registration information and choices about seeing or holding a baby, always without implying there is a correct decision. Terms should address access to maternity and pathology systems, specimens, personal items, interpreter services and multidisciplinary case review. They should also define protected professional development and clinical supervision because complex loss, complaints and repeated exposure to traumatic events require both accountable practice and meaningful staff support.
Responsibilities reflected in the contract
- Provide registered midwifery care within competence.
- Coordinate bereavement information and follow-up.
- Support consent and family choices.
- Liaise with clinical pathology and support teams.
- Contribute to review education and service improvement.
A realistic working scenario
Parents are unsure about post-mortem options, so the midwife explains the approved pathway without directing their choice and arranges specialist discussion.
Outputs to agree
- compassionate coordinated clinical care
- informed family choices
- complete maternity bereavement records
Records and evidence
- Clinical assessment and care.
- Consent choice and information.
- Specimen post-mortem and property chain.
- Follow-up referral review and learning.
- Patient records.
- Care notes.
Reporting relationship
Typically reports to Clinical Lead, Nurse Manager, Matron, Practice Manager or Registered Manager. Confirm the employer's actual reporting structure in the builder.
Authority and escalation
- The midwife cannot practise beyond registration or competence, obtain consent through pressure, give definitive pathology findings, alter statutory records improperly or substitute for specialist mental-health care.
- Obtain approval before committing expenditure, changing contractual commitments or making regulated or staffing decisions outside the assigned role.
Tools and systems
- Patient record systems.
- Observation equipment.
- Clinical communication tools.
- Incident reporting systems.
- Medicine systems where authorised.
Workplace context
- Clinical, ward, community or approved patient-care areas.
Contract priorities
- clinical service caseload and on-call work
- registration competence and supervision
- consent specimens records and family property
- follow-up review education and wellbeing
Information the employer should prepare
- the maternity settings and referral criteria
- the registration and specialist competencies
- the on-call clinic and follow-up pattern
- the consent pathology funeral and records pathways
- the clinical escalation supervision and support arrangements
Individually written and reviewed against the maintained role record.