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Women's experiences following severe perineal trauma: a meta-ethnographic synthesis.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Apr2013, Vol. 69 Issue 4, p748-759, 12p, 1 Diagram, 3 Charts
- Publication Year :
- 2013
-
Abstract
- Aims This article presents a meta-ethnographic synthesis of studies on women's experiences of sustaining a third or fourth degree tear during childbirth. Background It has been reported that for women who sustain third or fourth degree perineal tears (severe perineal trauma) some may experience extensive physical and psychological outcomes. Design A meta-ethnographic synthesis. Data sources The CINAHL, PubMed, Scopus, MD Consult, and SocIndex with Full Text databases were searched for the period January 1996-June 2011. Out of 478 papers retrieved four met the review aim. Review methods A meta-ethnographic synthesis approach was undertaken using analytic strategies and theme synthesis techniques of reciprocal translation and refutational investigation. Quality appraisal was undertaken using the Critical Appraisal Skills Programme ( CASP) tool. Findings Four qualitative papers were included, with three major themes identified: 'I am broken and a failure', 'Dismissed, devalued and disregarded', and 'The practicalities of the unpredictable perineum'. Conclusion There is evidence to suggest that for women who experience severe perineal trauma during childbirth the physical and psychological outcomes can be complex, with some women experiencing social isolation and marginalization due to their ongoing symptomatology. Severe perineal trauma appeared to affect not only physiological and psychological well-being but also altered the women's understanding of their identity as sexual beings. Health professionals should be mindful of the language that they use and their actions during suturing and the postpartum period to avoid causing unnecessary distress. [ABSTRACT FROM AUTHOR]
- Subjects :
- INJURY complications
TRAUMA surgery
PERINEUM
CONTROL (Psychology)
ANXIETY
BODY image
CINAHL database
COMMUNICATION
DATABASES
DELIVERY (Obstetrics)
FEAR
HEALTH status indicators
MEDICAL information storage & retrieval systems
INTERPERSONAL relations
LABOR (Obstetrics)
MATERNAL health services
EVALUATION of medical care
MEDLINE
MOTHERS
ONLINE information services
PHYSICIAN-patient relations
PHYSICIANS
POSTNATAL care
PREGNANCY
PUERPERAL disorders
PUERPERIUM
QUALITY of life
SELF-perception
HUMAN sexuality
SOCIAL isolation
SOCIAL networks
SUTURING
URINARY incontinence
VAGINA
ETHNOLOGY research
ACTIVITIES of daily living
SOCIAL support
ATTITUDES of mothers
SEVERITY of illness index
SEXUAL partners
META-synthesis
WOUNDS & injuries
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 69
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 86048230
- Full Text :
- https://doi.org/10.1111/jan.12005