Women's experiences of anal incontinence following vaginal birth: A qualitative study of missed opportunities in routine care contacts.
PloS one(2023)
Abstract
OBJECTIVES:This study aimed to explore experiences of women with anal incontinence following a childbirth injury, and to identify areas of missed opportunities within care they received.
DESIGN:This is a qualitative study involving semi-structured interviews.
SETTING:Participants were recruited via five hospitals in the UK, and via social media adverts and communication from charity organisations.
PARTICIPANTS:Women who have experienced anal incontinence following a childbirth injury, either within 7 years of sustaining the injury, or if they identified new, or worsening symptoms of AI at the time of menopause.
MAIN OUTCOME MEASURES:Main outcomes are experiences of women with anal incontinence following childbirth injury, and missed opportunities within the care they received.
RESULTS:The following main themes were identified: opportunities for diagnosis missed, missed opportunities for information sharing and continuity and timeliness of care.
CONCLUSIONS:Anal Incontinence following a childbirth injury has a profound impact on women. Lack of information and awareness both amongst women and healthcare professionals contributes to delays in accurate diagnosis and appropriate treatment.
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Key words
anal incontinence,vaginal birth,qualitative study,experiences
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