Women and their birth partners' experiences following a primary postpartum haemorrhage: a qualitative study.

Dunning, T; Harris, JM; Sandall, J

Women and their birth partners' experiences following a primary postpartum haemorrhage: a qualitative study.

Dunning, T Harris, JM Sandall, J

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Publisher:: BMC
Publication Type:: Journal Article
Citation:: BMC Pregnancy Childbirth, 2016, 16, (1), pp. 80
Issue Date:: 2016-04-18

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Field	Value	Language
dc.contributor.author	Dunning, T
dc.contributor.author	Harris, JM
dc.contributor.author	Sandall, J https://orcid.org/0000-0003-2000-743X
dc.date.accessioned	2022-01-28T06:43:52Z
dc.date.available	2016-04-13
dc.date.available	2022-01-28T06:43:52Z
dc.date.issued	2016-04-18
dc.identifier.citation	BMC Pregnancy Childbirth, 2016, 16, (1), pp. 80
dc.identifier.issn	1471-2393
dc.identifier.issn	1471-2393
dc.identifier.uri	http://hdl.handle.net/10453/153758
dc.description.abstract	BACKGROUND: Postpartum haemorrhage (PPH) is a common obstetric complication. Rates of PPH are increasing in a number of developed countries. This is concerning as PPH is recognised as a leading cause of maternal morbidity and mortality which includes psychological and emotional distress. There is limited understanding of the emotional impact of PPH experienced by women and their birth partners. This study qualitatively describes the experiences of women and their birth partners who experienced a primary PPH. METHODS: Semi-structured interview study. Couples were recruited via maximum variation sampling, which, by purposive sampling drew participants from three groups depending on the degree of PPH: minor (500-1000 ml), moderate (1000-2000 ml) and severe (>2000 ml). Interviews took place from 4 to 14 months post birth, and data were analysed via Framework analysis. RESULTS: In this qualitative study, 11 women and six partners were interviewed. Data were organised into four interrelated themes; Control, Communication, Consequence, Competence. Just over half of the women and their birth partners were unaware they had a PPH, and would have preferred more information either at the time or in the postnatal period. The findings suggest that birth partners also required more information, especially if separated from their partner during the PPH. CONCLUSIONS: This study provides valuable insights into women's reports of their feelings and experiences during and after a PPH, and how their partners feel having observed a PPH. This study suggests that women who have had a PPH of any volume would like more information. Further investigations into the timings, methods and effectiveness of discussions following a PPH are recommended.
dc.format	Electronic
dc.language	eng
dc.publisher	BMC
dc.relation.ispartof	BMC Pregnancy Childbirth
dc.relation.isbasedon	10.1186/s12884-016-0870-7
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Adult
dc.subject.mesh	Family Characteristics
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Parturition
dc.subject.mesh	Postpartum Hemorrhage
dc.subject.mesh	Postpartum Period
dc.subject.mesh	Pregnancy
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Spouses
dc.subject.mesh	Humans
dc.subject.mesh	Postpartum Hemorrhage
dc.subject.mesh	Family Characteristics
dc.subject.mesh	Spouses
dc.subject.mesh	Postpartum Period
dc.subject.mesh	Pregnancy
dc.subject.mesh	Parturition
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Adult
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.title	Women and their birth partners' experiences following a primary postpartum haemorrhage: a qualitative study.
dc.type	Journal Article
utslib.citation.volume	16
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
utslib.copyright.status	open_access	*
dc.date.updated	2022-01-28T06:43:49Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	16
utslib.citation.issue	1

Abstract:

BACKGROUND: Postpartum haemorrhage (PPH) is a common obstetric complication. Rates of PPH are increasing in a number of developed countries. This is concerning as PPH is recognised as a leading cause of maternal morbidity and mortality which includes psychological and emotional distress. There is limited understanding of the emotional impact of PPH experienced by women and their birth partners. This study qualitatively describes the experiences of women and their birth partners who experienced a primary PPH. METHODS: Semi-structured interview study. Couples were recruited via maximum variation sampling, which, by purposive sampling drew participants from three groups depending on the degree of PPH: minor (500-1000 ml), moderate (1000-2000 ml) and severe (>2000 ml). Interviews took place from 4 to 14 months post birth, and data were analysed via Framework analysis. RESULTS: In this qualitative study, 11 women and six partners were interviewed. Data were organised into four interrelated themes; Control, Communication, Consequence, Competence. Just over half of the women and their birth partners were unaware they had a PPH, and would have preferred more information either at the time or in the postnatal period. The findings suggest that birth partners also required more information, especially if separated from their partner during the PPH. CONCLUSIONS: This study provides valuable insights into women's reports of their feelings and experiences during and after a PPH, and how their partners feel having observed a PPH. This study suggests that women who have had a PPH of any volume would like more information. Further investigations into the timings, methods and effectiveness of discussions following a PPH are recommended.

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http://hdl.handle.net/10453/153758