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Created on : 02 Jul 2018
Modified on : 25 Jul 2018

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Bibliographical entry (without author) :

‘A worse nightmare than expected’ - a Swedish qualitative study of women’s experiences two months after obstetric anal sphincter muscle injury. Midwifery. June 2018. vol. 61. p. 22-28

Author(s) :

Maria Lindqvist, Margareta Persson, Margareta Nilsson, Eva Uustal, Inger Lindberg

Year of publication :

2018

URL(s) :

https://www.midwiferyjournal.com/article/S0266-613…
https://doi.org/10.1016/j.midw.2018.02.015

Résumé (français)  :

Nous avons constaté que les femmes ayant un problème de rétablissement deux mois après un périnée complet ont vécu leur situation comme un pire cauchemar que prévu. La douleur intense entraînait des limitations physiques et psychologiques. Il est nécessaire d’améliorer l’information des patientes souffrant de périnée complet en ce qui concerne la douleur, les aspects psychologiques et personnels, la fonction sexuelle et l’accouchement ultérieur.
En outre, il est nécessaire de disposer de structures organisationnelles et d’informations claires pour orienter les femmes qui cherchent de l’aide vers les soins dont elles ont besoin.

Abstract (English)  :

Objective
this study explores women’s experiences of the first two months after obstetric anal sphincter injury (OASIS) during childbirth with a focus on problematic recovery.

Methods
this qualitative study used inductive qualitative content analysis to investigate open-ended responses from 1248 women. The data consists of short and comprehensive written responses to open-ended questions focusing on recovery in the national quality register, the Perineal Laceration Register, two months after OASIS at childbirth.

Results
the theme ‘A worse nightmare than expected’ illustrated women’s experiences of their life situation. Pain was a constant reminder of the trauma, and the women had to face physical and psychological limitations as well as crushed expectations of family life. Furthermore, navigating healthcare services for help added further stress to an already stressful situation.

Conclusions
we found that women with problematic recovery two months after OASIS experienced their situation as a worse nightmare than expected. Extensive pain resulted in physical and psychological limitations, and crushed expectations of family life. Improved patient information for women with OASIS regarding pain, psychological and personal aspects, sexual function, and subsequent pregnancy delivery is needed. Also, there is a need for clear organizational structures and information to guide help-seeking women to needed care.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Les femmes ayant un problème de rétablissement deux mois après un périnée complet ont vécu leur situation comme un pire cauchemar que prévu.

Argument (English):

Women with a recovery problem two months after a complete perineum experienced their situation as a worse nightmare than expected.

Argumento (português):

Mulheres com um problema de recuperação dois meses depois de um períneo completo experimentaram sua situação como um pesadelo pior do que o esperado.

Argumento (español):

Keywords :

➡ depression, anxiety ; psychology ; traumatism ; sexuality ; perineal/vaginal tears ; pain

Author of this record :

Alison Passieux — 02 Jul 2018
➡ latest update : Bernard Bel — 25 Jul 2018