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Women’s perspectives on caesarean section recovery, infection and the PREPS trial : a qualitative pilot study
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Weckesser, Annalise, Farmer, Nicola, Dam, Rinita, Wilson, Amie, Hodgetts Morton, Victoria and Morris, Katie (2019) Women’s perspectives on caesarean section recovery, infection and the PREPS trial : a qualitative pilot study. BMC Pregnancy and Childbirth, 19 (245). 245. doi:10.1186/s12884-019-2402-8 ISSN 1471-2393.
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Official URL: https://doi.org/10.1186/s12884-019-2402-8
Abstract
Background: In England, 27.8% of all pregnant women undergo caesarean sections (CS) to deliver their babies. Women undergoing CS are at risk of developing sepsis and post-natal infections, which not only contribute significantly to maternal mortality and morbidity, but also negatively impact upon post-natal recovery and wellbeing. This study explores patients’ priorities in relation to CS recovery, focusing on their knowledge and experiences of infection prevention. The study formed part of the PREPS (Vaginal Preparation at caesarean section to Reduce Endometritis and Prevent Sepsis – a feasibility study of chlorhexidine) Trial; patients’ views on the PREPS Trial were also sought.
Methods: Using qualitative methodology, two focus groups and six telephone interviews were carried out between September and October 2017 with a total of 21 women who had undergone a CS within the
preceding six months. Focus groups and individual telephone interviews were audio-recorded and transcribed verbatim; a thematic analysis was conducted using NVivo 11.
Results: Women’s priorities around CS recovery centred on pain (or the lack thereof), mobility and the ability to resume everyday activities, including caregiving. Those undergoing a CS for the first time reported not feeling confident in their ability to identify signs of infection and sought visiting health professionals’ expertise and reassurance. Women were unable to recall whether they had received information regarding infection prevention and felt that they had not received sufficient advice. Some reported receiving general information regarding CS recovery,
which ranged in quality. Prevention of womb infection is a major goal of the PREPS trial, however, the majority of women were not aware that womb (as opposed to wound) infection was a post CS risk.
Conclusions: Women undergoing a CS want more information on what constitutes a ‘normal’ post-operative recovery and specifically would welcome written information and infection prevention advice. This should be a key element of improving post-CS maternal experiences and potentially reducing sepsis and infection rates. CS stigma negatively impacts women’s recovery experiences and possibly information provision. The PREPS team incorporated findings regarding consent pathways for recruiting women into intrapartum research and developed two patient reported outcomes to collect in the main trial.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RG Gynecology and obstetrics | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Cesarean section, Postnatal care, Childbirth, Puerperal septicemia , Maternal health services | ||||||
Journal or Publication Title: | BMC Pregnancy and Childbirth | ||||||
Publisher: | BioMed Central Ltd. | ||||||
ISSN: | 1471-2393 | ||||||
Official Date: | 15 July 2019 | ||||||
Dates: |
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Volume: | 19 | ||||||
Number: | 245 | ||||||
Article Number: | 245 | ||||||
DOI: | 10.1186/s12884-019-2402-8 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 24 April 2023 | ||||||
Date of first compliant Open Access: | 25 April 2023 | ||||||
RIOXX Funder/Project Grant: |
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