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

نویسندگان

چکیده

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

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ژورنال

عنوان ژورنال: International Urogynecology Journal

سال: 2021

ISSN: ['1433-3023', '0937-3462']

DOI: https://doi.org/10.1007/s00192-020-04653-2