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MIDIRS Midwifery Digest

June 2026
Postnatal

Reflecting on cultural competence in bereavement care: a Gibbs reflective cycle analysis of a cultural awareness poster

Keziah Powell

Abstract

Persistent racial disparities in perinatal outcomes in the UK continue to disproportionately affect global majority families, with Black babies experiencing mortality rates three times higher than White babies, and Black women facing significantly higher miscarriage rates (National Child Mortality Database (NCMD) 2023, Tommy’s 2025).

As a midwife and Anti-Racism Clinical Lead, I felt a deep responsibility to respond to the concerns raised by colleagues who expressed anxiety and uncertainty when supporting bereaved families from cultures different to their own. This reflective paper explores the creation of an educational resource titled 9 cultural considerations in bereavement care, developed to support staff in providing culturally sensitive and compassionate bereavement care. Using Gibbs’ reflective cycle (1988), I reflect on the emotional drivers, professional purpose and practical learning gained through this process. While the poster generated positive informal feedback and encouraged meaningful discussion, its limitations — such as a lack of measurable impact and potential oversimplification — highlighted the need for deeper, sustained approaches to cultural competency. This reflection reinforced that change begins with small, intentional actions, but long-term improvement requires collaboration, evaluation and integration into existing education pathways. Ultimately, this work has strengthened my belief in the power of culturally responsive care to support healing, dignity and equity for bereaved families.

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