Women's experiences of anal incontinence following vaginal birth: A qualitative study of missed opportunities in routine care contacts

PLoS One. 2023 Jun 27;18(6):e0287779. doi: 10.1371/journal.pone.0287779. eCollection 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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Birth Injuries*
  • Delivery, Obstetric / adverse effects
  • Female
  • Humans
  • Parturition*
  • Pregnancy
  • Qualitative Research

Grants and funding

This project is funded by the National Institute for Health and Care Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number NIHR202172). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.