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Taken by surprise
Umea Univ, Sweden; Div Obstet and Gynecol Reg Norrbotten, Sweden.
Umea Univ, Sweden.
Umea Univ, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Children's and Women's Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
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2020 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 87, article id UNSP 102748Article in journal (Refereed) Published
Abstract [en]

Objective: This study explores womens experience of having a second degree perineal tear and related consequences to daily life during the first eight weeks after childbirth. Method: Written responses to open-ended questions in a questionnaire distributed about eight weeks postpartum and completed by 1,007 women with second degree perineal tears were excerpted from the national quality register, Perineal Laceration Register. Inductive qualitative content analysis was applied to the data. Result: The theme Taken by surprise illustrates womens experience of the first two months after having a second degree perineal tear at childbirth. Women were not prepared for the inconveniences and expressed concerns about their bodies. Further, they expressed distress about their physical and psychological recovery as well as how to return to a pre-childbirth condition. Conclusions: Although many women recovered fairly well the first months after a second degree perineal tear at childbirth, it was evident that a substantial number of women were unprepared for the pain and discomfort they experienced. It is apparent that also women with the "minor" perineal tears at childbirth need improved postpartum care with tailored analgesia and improved information, but also check-ups and reassurance of recovery from healthcare professionals. Health care professionals need to identify women with persisting problems so that they can be referred to inpatient care for additional assessments of the injury. (C) 2020 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER SCI LTD , 2020. Vol. 87, article id UNSP 102748
Keywords [en]
Experiences; Perineal tear; Qualitative register; Inductive content analysis
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:liu:diva-167637DOI: 10.1016/j.midw.2020.102748ISI: 000541153300015PubMedID: 32454376OAI: oai:DiVA.org:liu-167637DiVA, id: diva2:1454769
Note

Funding Agencies|Region of Norrbotten; Region of Vasterbotten

Available from: 2020-07-20 Created: 2020-07-20 Last updated: 2020-07-20

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Uustal, Eva
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Division of Children's and Women's HealthFaculty of Medicine and Health SciencesDepartment of Gynaecology and Obstetrics in Linköping
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  • apa
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Output format
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