scholarly journals Pelvic girdle pain affects the whole life—a qualitative interview study in Norway on women’s experiences with pelvic girdle pain after delivery

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Jorun Engeset ◽  
Britt Stuge ◽  
Liv Fegran
Author(s):  
Tanya Djanogly ◽  
Jacqueline Nicholls ◽  
Melissa Whitten ◽  
Anne Lanceley

Objective To explore how women undergoing episiotomy experience and perceive the consent process. Design Qualitative interview study. Setting A postnatal ward in a London teaching hospital. Sample 15 women who had recently undergone episiotomy. Methods Semi-structured, audio-recorded interviews were analysed using thematic analysis. Main outcome measures Themes derived from analysis of interview transcripts. Results Three themes emerged in relation to women’s experiences of the episiotomy consent process: 1) realities of episiotomy practice, 2) information provision and 3) voluntariness of consent. Practical realities such as time pressure, concern for the baby’s health and women’s state of exhaustion, constrained consent discussions. Minimal information on episiotomy was shared with participants, particularly concerning risks and alternatives. Participants consequently inferred that there was no other choice to episiotomy. Whilst some women were still happy to agree, others perceived the consent process to be illusory and disempowering, and subsequently experienced episiotomy as a distressing event. Conclusions Consent to episiotomy is not consistently informed and voluntary and more often takes the form of compliance. Information must be provided to women in a timelier fashion in order to fulfil legal requirements, and to facilitate a sense of genuine choice. Funding The study has not received grant funding. The research team are funded by the Higher Education Funding Council for England (HEFCE). Keywords Episiotomy, consent, women’s experiences, qualitative


Midwifery ◽  
2020 ◽  
Vol 83 ◽  
pp. 102656
Author(s):  
Renate Utne ◽  
Chloe Lindsay Antrobus-Johannessen ◽  
Vigdis Aasheim ◽  
Katrine Aasekjær ◽  
Eline Skirnisdottir Vik

2015 ◽  
Vol 95 (10) ◽  
pp. 1354-1364 ◽  
Author(s):  
Francesca Wuytack ◽  
Elizabeth Curtis ◽  
Cecily Begley

BackgroundPelvic girdle pain (PGP) is common during pregnancy and negatively affects women's lives. When PGP persists after the birth, the way it affects women's lives may change, particularly for first-time mothers as they adjust to motherhood, yet the experiences of women with persistent PGP remain largely unexplored.ObjectivesThe objective of this study was to explore primiparous women's experiences of persistent PGP and its impact on their lives postpartum, including caring for their infant and their parental role.DesignThis was a descriptive qualitative study.MethodsFollowing institution ethical approval, 23 consenting primiparous women with PGP that had started during pregnancy and persisted for at least 3 months postpartum participated in individual interviews. These interviews were recorded, transcribed, and analyzed using thematic analysis.ResultsFour themes emerged: (1) “Putting up with the pain: coping with everyday life,” in which women put up with the pain but had to balance activities and were grateful for support from family and friends to face everyday challenges; (2) “I don't feel back to normal,” in which women's feelings of physical limitations, frustration, and a negative impact on their mood were described; (3) “Unexpected,” in which persistent symptoms were unexpected for women due to a lack of information given about PGP; and (4) “What next?,” in which the future of women's symptoms was met with great uncertainty, and they expressed worry about having another baby.ConclusionFor first-time mothers, having persistent PGP postpartum affects their daily lives in many ways. These findings provide important information for health care providers, which will improve their understanding of these women's experiences, will enhance rapport, and can be used to provide information and address concerns to optimize maternity care during pregnancy and beyond.


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