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Women’s experience of obstetric anal sphincter injury following childbirth: an integrated review

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Show simple item record Darmody, Ella Bradshaw, Carmel Atkinson, Sandra 2021-08-04T13:52:00Z 2021-08-04T13:52:00Z 2021
dc.description peer-reviewed en_US
dc.description.abstract ackground: Perineal injury during childbirth is a very common event which affect women during child birth. Significant morbidities are associated with third-and-fourth degree perineal tears in particular, also referred to as obstetric anal sphincter injuries (OASIS). With an increasing global birth rate and rising interventions in birth, the incidence of perineal trauma following vaginal birth is increasing on an in ternational scale, impacted also by more accurate classification and definitions of OASIS and increased pre-existing co morbidities amongst affected women. The consequences of OASIS can be physically and psychologically distressing for affected women and have significant impact on quality of life. Methodology: The aim of this integrative review was to examine women’s experience of OASIS following childbirth using a systematic approach. This is presented in a five-stage process that includes problem identification, literature search, data extraction and evaluation, data analysis and presentation of results. A number of academic electronic databases were systematically searched and results are presented and analysed. Results of the complete search are presented in PRISMA format. Eight papers, which were as sessed for quality using an appropriate appraisal tool, are included in the review and thematic analysis used to identify themes. Findings: The themes identified were; psychological consequences, the role of the health care profes sionals and implications for future pregnancies. Psychological consequences included anxiety, loneliness, isolation, shame, fear, many of which were associated with physical ramifications of OASIS and how these feelings affect activities of daily living. The importance of access to and support from health care profes sionals was highlighted. The impact the experience of OASIS had on women’s decisions about future pregnancies was also evident. Conclusion: The association between OASIS and maternal quality of life following childbirth can be sub stantial as evidenced by this literature review. The review identifies the need for improvement in the care and management of these women to alleviate the physical and psychological consequences of OA SIS, including decisions in relation to future pregnancies and childbirth. Health care professionals caring for women in pregnancy and childbirth need to be educated and informed on the sequelae of OASIS, to ensure appropriate information and support is provided to these women and their families. Such knowl edge may enable health care professionals to alleviate symptoms associated with OASIS and help women make sense and cope with their experiences. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Midwifery;102820
dc.subject perineal injury en_US
dc.subject perineal trauma en_US
dc.subject obstetric anal sphincter injuries en_US
dc.subject psychological consequences en_US
dc.subject implications for future pregnancies en_US
dc.title Women’s experience of obstetric anal sphincter injury following childbirth: an integrated review en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1016/j.midw.2020.102820
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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