scholarly journals “Fear of stopping” vs “wanting to get off the medication”: exploring women’s experiences of using domperidone as a galactagogue - a qualitative study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Gabriella Zizzo ◽  
Alice R. Rumbold ◽  
Luke E. Grzeskowiak
Keyword(s):  
Clinical Practice ◽  
Health Professionals ◽  
Structured Interviews ◽  
High Expectations ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
Considerable Controversy ◽  
Prophylactic Use ◽  
Timing Of Initiation ◽  
Anecdotal Information

Abstract Background Domperidone is the most frequently prescribed medicine used to increase breast milk supply. There is considerable controversy surrounding the use of domperidone in lactation, due to limited evidence about efficacy and concerns about rare but life-threatening side-effects. Despite this, in many high-income settings such as Australia, use of domperidone among breastfeeding mothers appears to be increasing. The aim of this paper was to explore women’s experiences of using domperidone during breastfeeding. Methods Semi-structured interviews were conducted in 2019 with 15 women in Australia who reported using domperidone as a galactagogue during breastfeeding. Interviews were recorded, transcribed and analysed thematically. Results Women reported a wide variety of practices concerning the timing of initiation of domperidone use, including prophylactic use, as well as the dose and duration of use. Prolonged periods of use and unsupervised dosing were commonly reported, these practices were sometimes associated with a fear of the consequences of stopping, insufficient provision of information about the drug or feeling dismissed by health professionals. Some women indicated that when doctors refused to prescribe domperidone they responded by doctor shopping and seeking anecdotal information about benefits and risks online, leading to unsupervised practices. Women often reported high expectations surrounding the effectiveness of domperidone, and most used the medication in conjunction with food/herbal galactagogues and non-galactagogue support. Positive outcomes following domperidone use included having greater confidence in breastfeeding and pride at achieving breastfeeding goals. Conclusions This study identified a variety of practices concerning domperidone use, including potentially unsafe practices, linked in some cases to inconsistent advice from health professionals and a reliance on online, anecdotal information sources. These findings emphasise the urgent need for development of clinical practice guidelines and a greater focus on translating existing evidence concerning domperidone into clinical practice, including clinical support that is tailored to women’s needs.

scholarly journals Women’s experiences of the OASI Care Bundle; a package of care to reduce severe perineal trauma

2021 ◽  
Author(s):  
Posy Bidwell ◽  
Nick Sevdalis ◽  
Louise Silverton ◽  
James Harris ◽  
Ipek Gurol-Urganci ◽  
...  
Keyword(s):  
Severe Form ◽  
Perineal Trauma ◽  
Care Bundle ◽  
Structured Interviews ◽  
Good Communication ◽  
Women’S Experiences ◽  
Psychosocial Disorders ◽  
Anal Sphincter Injury ◽  
Women's Experiences ◽  
Manual Perineal Protection

Abstract Introduction and hypothesis Obstetric anal sphincter injury (OASI) is a severe form of perineal trauma that can occur during vaginal birth. Long-term morbidities include anal incontinence and psychosocial disorders. To reduce these injuries within England, Scotland and Wales, the OASI Care Bundle was introduced to 16 maternity units (January 2017–March 2018). The OASI Care Bundle comprises four elements: (1) antenatal information, (2) manual perineal protection, (3) medio-lateral episiotomy (when indicated) and 4) recognition and diagnosis of tears. As part of the project evaluation, a qualitative study was conducted to explore women’s experiences of the OASI Care Bundle. Methods Semi-structured interviews were conducted with women (n = 19) who received the OASI Care Bundle as part of their maternity care. This was to explore their experience of each element. A thematic analysis of the interview data was performed. Results Three themes were identified: (1) memories of touch, whereby women reported that a ‘hands-on’ approach to perineal protection was a positive experience; (2) midwife as a supportive guide, where women reported that good communication facilitated a calm birth and post-birth diagnosis; (3) education: women need more information about perineal trauma. Conclusion This study contributes to the literature through its exploration of women’s experiences of perineal protection techniques and diagnosis of perineal trauma. Interviewed women indicated that they did not experience any of the care bundle elements as an intrusion of their physical integrity. Additionally, an urgent need was identified for more information about perineal trauma in terms of risk, prevention and recovery.

Muslim Women’s Experiences of Higher Education in Britain

2007 ◽  
Vol 24 (3) ◽  
pp. 46-69
Author(s):  
Fauzia Ahmad
Keyword(s):  
Higher Education ◽  
Identity Construction ◽  
South Asian ◽  
Muslim Women ◽  
Structured Interviews ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
It Impacts ◽  
The Social ◽  
University Experiences

I explore British South Asian Muslim women’s experiences of higher education and how it impacts identity construction and negotiation. Through semi-structured interviews with thirty-five undergraduate and post-graduate Muslim female university students, I reflect on their perceived and actual experiences. By stressing how representations of them influence their participation and experiences, I analyze how individual subjectivities are mediated and negotiated while reflecting common experiences. I also consider their accounts of the social and personal benefits they felt that they gained during their studies, as well as to the more disturbing and racialized aspects of their experiences. They differentiated between three overlapping forms of beneficial experience: academic, social, and personal. While instances of anti-Muslim racism were rare or subtle, certain university structures and expectations of what being a mainstream student means often contributed to a noted sense of “othering.” I conclude by highlighting how their accounts of their university experiences directly challenge those stereotypes that misrepresent educated Muslim women as “religious and cultural rebels.”

scholarly journals Unfounded Sexual Assault: Women’s Experiences of Not Being Believed by the Police

2020 ◽  
pp. 088626052097819
Author(s):  
Jodie Murphy-Oikonen ◽  
Karen McQueen ◽  
Ainsley Miller ◽  
Lori Chambers ◽  
Alexa Hiebert
Keyword(s):  
Sexual Assault ◽  
Police Officers ◽  
Well Being ◽  
Analysis Data ◽  
Sexual Assaults ◽  
Structured Interviews ◽  
Sexual Assault Survivors ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
The Impact

One in four women will experience sexual assault in their lifetime. Although less than 5% of sexual assaults are reported to law enforcement, one in five cases reported to police are deemed baseless (by police) and therefore coded as “unfounded.” Police officers are in a unique position to act as gatekeepers for justice in sexual assault cases, given their responsibility to investigate sexual assault reports. However, high rates of unfounded sexual assaults reveal that dismissing sexual violence has become common practice amongst the police. Much of the research on unfounded sexual assault is based on police perceptions of the sexual assault, as indicated in police reports. Women’s perspectives about their experiences with police are not represented in research. This qualitative study explored women’s experiences when their sexual assault report was disbelieved by the police. Data collection included open-ended and semi-structured interviews with 23 sexual assault survivors. Interviews covered four areas including the sexual assault, the experience with the police, the experience of not being believed, and the impact on their health and well-being. Interviews were audio-recorded, transcribed, and entered into NVIVO for analysis. Data were analyzed using Colaizzi’s analytic method, resulting in the identification of four themes, including, (a) vulnerability, (b) drug and alcohol use during the assault, (c) police insensitivity, and (d) police process. The women in this study who experienced a sexual assault and reported the assault to police were hopeful that police would help them and justice would be served. Instead, these women were faced with insensitivity, blaming questions, lack of investigation, and lack of follow-up from the police, all of which contributed to not being believed by the institutions designed to protect them. The findings from this research demonstrate that police officers must gain a deeper understanding of trauma and sensitive communication with survivors of sexual assault.

scholarly journals ‘Do you mean I’m not whole?’: Exploring the role of support in women’s experiences of mastectomy without reconstruction

2016 ◽  
Vol 23 (12) ◽  
pp. 1598-1609 ◽  
Author(s):  
Stephanie Archer ◽  
Fiona G Holland ◽  
Jane Montague
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Sense Of Self ◽  
The Self ◽  
Structured Interviews ◽  
Younger Women ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
Positive Support ◽  
Unilateral Mastectomy

This study explores the role of others in supporting younger women who opt not to reconstruct their breast post-mastectomy. Semi-structured interviews were conducted with six women diagnosed with breast cancer in their 30s/40s. The women lived in England, had been diagnosed a minimum of 5 years previously and had undergone unilateral mastectomy. An interpretative phenomenological analysis revealed three themes: Assuring the self: ‘I’ll love you whatever’, Challenging the self: ‘Do you mean I’m not whole?’ and Accepting the self: ‘I’ve come out the other side’. The women’s experiences of positive support and challenges to their sense of self are discussed.

scholarly journals The Cycle of Female Prisoner (Re)Integration: Pathways, criminal justice and imprisonment

2021 ◽  
Author(s):  
◽  
Hannah Bentley
Keyword(s):  
Qualitative Methodology ◽  
Female Offender ◽  
Key Factors ◽  
Structured Interviews ◽  
Female Prisoner ◽  
Women’S Experiences ◽  
Treatment Services ◽  
Women's Experiences ◽  
First Time ◽  
Gender Specific

<p>With increasing rates of female imprisonment, and female prisoner re-imprisonment rates of 33% for first time prisoners and 48% for recidivist prisoners within four years, women’s experiences of (re)integration are in need of examination. Issues of abuse, addiction, economic, social and political deprivation and poor education are not only seen to underpin women’s pathways into crime, but also the treatment of female offenders within a system that has redefined their welfare needs as risks. Using a feminist, qualitative methodology that provides often unheard women with a voice, semi-structured interviews were conducted with female ex-prisoners and those who work with women once released from prison. Interviews examined women’s experiences of release and the areas that contribute to successful or unsuccessful (re)integration. Findings reveal that support networks, release conditions, employment, accommodation and treatment services are key factors that either help or hinder women’s (re)integration. Consistent with literature on women’s (re)integration, interviews further revealed that female offender pathways are not addressed prior to, during, or after release from prison. To address such problems, this thesis argues that collaborative, holistic, gender-specific programmes, that are tailored to meet women’s daily needs and experiences, are required both within the community and prisons.</p>

scholarly journals Women's experiences of VBAC in Cyprus: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eleni Hadjigeorgiou ◽  
Constantina Katsie ◽  
Maria Papadopoulou ◽  
Maria Dolores Christofi ◽  
Andri Christoforou
Keyword(s):  
Caesarean Section ◽  
Perinatal Care ◽  
Well Being ◽  
Vaginal Birth ◽  
Valuable Insight ◽  
Previous Caesarean Section ◽  
Structured Interviews ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
Insight Into

Abstract Background and aim In 21st century, there has been an increasing interest in vaginal birth after previous caesarean section (VBAC) in Cyprus, a country with a very high operative birth rate. Research-based evidence of women’s VBAC experiences in Cyprus is non-existent, despite its significance for the well-being of mothers and families. The aim of this study is to gain insight into the women’s lived experience of VBAC in Cyprus. In this study women’s experiences of VBAC are explored for the first time in Cyprus. Method The study is qualitative and exploratory in nature. Data were collected through semi-structured interviews with 10 women, who experienced vaginal birth after a previous caesarean section (VBAC) in Cyprus. A descriptive phenomenological approach was employed for the analysis of data. Results Analysis of data yielded four major themes: (a) medicalization of childbirth, (b) preparing for a VBAC, (c) birth environment, and (d) healing through VBAC. On the whole, the women interviewed described their previous experience of CS as traumatic, in contrast to vaginal childbirth. VBAC was considered an utterly positive experience that made the women feel empowered and proud of themselves. Conclusion This study offers valuable insight into a newly researched subject in Cyprus, which is necessary for advancing perinatal care in Cyprus. The findings indicate that women need evidence-based information, guidelines on birthing options, good preparation with tailored information and personalized care for a successful vaginal birth after a previous caesarean section. Proper, non-biased, consultations are a main factor that affects women’s choice of mode of birth. The introduction of new, women-friendly perinatal strategies that respect and promote childbirth rights is imperative in the case of Cyprus. All women have the right to exercise informed choice and the choice to alternative birthing options.

scholarly journals Expertise, advocacy and activism: A qualitative study on the activities of prostate cancer peer support workers

2018 ◽  
Vol 24 (1) ◽  
pp. 21-37 ◽  
Author(s):  
Marjaana Jones ◽  
Ilkka Pietilä
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Health Policy ◽  
Clinical Practice ◽  
Peer Support ◽  
Health Professionals ◽  
Close Contact ◽  
Structured Interviews ◽  
Work Activities ◽  
Individual Level

Peer support workers are now working with patients in a variety of settings, coming into close contact and even work alongside health professionals. Despite the potentially influential position peer support workers hold in relation to those engaged in support activities, their role, duties and their relationship to peers and health professionals lack clarity and is often defined by other actors. This study explores how peer support workers interpret and define the activities, responsibilities and knowledge associated with their work. Using methods of membership categorisation analysis, we analysed interview materials generated by conducting individual semi-structured interviews during the autumn of 2016 with prostate cancer peer support workers ( n = 11) who currently volunteer as support workers in Finland. Although the peer support workers acknowledged the psychosocial aspects of the work, we argue that their interpretations extend far beyond this and encompass expertise, advocacy and activism as central features of their work. These can be used to strengthen their position as credible commentators and educators on issues relating to cancer and men’s health; raise awareness and represent the ‘patient’s voice’ and attempt to influence both policy and clinical practice. These findings suggest that by categorising their work activities in different ways, voluntary sector actors such as peer support workers can attempt to portray themselves as legitimate authorities on a range of issues and influence decision-making ranging from individual level treatment decisions all the way to health policy.

scholarly journals Consumption of psychiatric drugs by patients of medical and surgical clinics in a general hospital

2013 ◽  
Vol 21 (4) ◽  
pp. 948-955 ◽  
Author(s):  
Flavio Hiroshi Shirama ◽  
Adriana Inocenti Miasso
Keyword(s):  
Clinical Practice ◽  
Quantitative Analysis ◽  
General Hospital ◽  
Health Professionals ◽  
Common Mental Disorders ◽  
Roman Catholicism ◽  
Structured Interviews ◽  
Psychiatric Drugs ◽  
High Prevalence ◽  
Benzodiazepine Drugs

PURPOSES: to identify the prevalence of the use of psychiatric drugs among patients admitted to medical and surgical clinics of a general hospital, and also the factors related to the consumption of this type of medication. METHOD: this is a transversal, descriptive, correlational study with quantitative analysis. For the collection of data, there was use of structured interviews and also reference to medical files. RESULTS: there was confirmation of a high prevalence of users of psychiatric drugs, which was associated to the female sex, to people who do not practice Roman Catholicism, and admittance to the clinic not covered by the Single Health System (Sistema Único de Saúde - SUS), as well as the presence of common mental disorders. Benzodiazepine drugs were the most commonly used psychiatric drugs. Among the total number of users, there has been the identification of patients who were not aware that they were receiving such medication. Doctors who are not psychiatrists were responsible for most prescriptions of psychiatric drugs. CONCLUSIONS: this signals the need to prepare health professionals to deal with psychological and social problems commonly found in clinical practice, in order to promote the rational use of psychiatric drugs.

scholarly journals Barriers Perceived by Managers and Clinical Professionals Related to the Implementation of Clinical Practice Guidelines for Breastfeeding through the Best Practice Spotlight Organization Program

2020 ◽  
Vol 17 (17) ◽  
pp. 6248
Author(s):  
Antonio Jesús Ramos-Morcillo ◽  
David Harillo-Acevedo ◽  
David Armero-Barranco ◽  
César Leal-Costa ◽  
José Enrique Moral-García ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Health Professionals ◽  
Best Practice ◽  
Research Study ◽  
Structured Interviews ◽  
Qualitative Research Study ◽  
Implementation Program

International institutions facilitate the contact of health professionals to evidence-based recommendations for promoting exclusive breast feeding (BF). However, the achievement of good rates of exclusive BF is still far from the optimum. The intention of the present work is to determine the barriers identified by managers and health professionals involved in the implementation and sustainability of Clinical Practice Guidelines (CPG) for breastfeeding under the auspices of the Best Practice Spotlight Organization program. A qualitative research study was carried out. The participants were managers, healthcare assistants, nurses, midwives, pediatricians and gynecologists. Semi-structured interviews were conducted which were transcribed and analyzed using the six steps of thematic analysis. Twenty interviews were conducted, which defined four major themes: (1) Lack of resources and their adaptation; (2) Where, Who and How; (3) Dissemination and reach of the project to the professionals; and (4) The mother and her surroundings. This research identifies the barriers perceived by the health professionals involved in the implementation, with the addition of the managers as well. Novel barriers appeared such as the ambivalent role of the midwives and the fact that this CPG is about promoting health. The efforts for promoting the implementation program should be continuous, and the services should be extended to primary care.

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