A mixed methods study to explore women and clinician's response to pain associated with suturing second degree perineal tears and episiotomies [PRAISE]

Lesley Briscoe, Tina Lavender, Ediri O'Brien, Malcolm Campbell, Linda McGowan

    Research output: Contribution to journalArticle

    9 Citations (Scopus)
    70 Downloads (Pure)

    Abstract

    Background: perineal suturing is a common event which affects women across a variety o finternational settings. Women have expressed pain related to perinea ltrauma in the postnatal period but little is known about pain during suturing. In addition, there is a lack of evidence to identify how professional decisions are made about pain management during the suturing process. Objective: to explore women and clinician's response to pain during the suturing of second degree tears and episiotomies. Design: mixed method feasibility study which included observation, questionnaires and interviews. Setting: a Hospital Trust in Northwest England. Participants: 40 women and 21 clinicians participated. Measurements and findings: mild, moderate and severe pain was measured via the McGill Pain Questionnaire-Short Form(MCPQ-SF). Psychological distress was identified via the Hospital Anxiety and Depression Scale (HADS). Semi-structured face to face interviews identified three themes, Psychological distress and future functioning; Variation in practice and Style of communication. Key conclusions: women who experienced psychological distress during previous or current childbirth scored higher on HADS and MCPQ-SF, and appeared to express more concerns about future functioning and healing. Variation in practice exists and style of communication had the potential to make the difference for women. Implications for practice and research: the process of suturing is complex and is not a standalone event for a woman. It is crucial that health professionals consider previous and subsequent experience of perineal suturing. Future research aims to develop a decision tree to support pain management during suturing.
    Original languageEnglish
    Pages (from-to)464-472
    JournalMidwifery
    Volume31
    Issue number4
    Early online date10 Jan 2015
    DOIs
    Publication statusE-pub ahead of print - 10 Jan 2015

    Fingerprint Dive into the research topics of 'A mixed methods study to explore women and clinician's response to pain associated with suturing second degree perineal tears and episiotomies [PRAISE]'. Together they form a unique fingerprint.

  • Projects

    Profiles

    No photo of LESLEY BRISCOE

    Dr LESLEY BRISCOE

    Person: Academic

    Cite this