“Broken”—How Identities as Women, Mothers and Partners Are Intertwined with the Experience of Living with and Seeking Treatment for Pelvic Organ Prolapse

Ramage, Kaylee; Ducey, Ariel; Scime, Natalie V.; Knox, Erin; Brennand, Erin A.

doi:10.3390/ijerph19095179

Cited by 8 publications

(5 citation statements)

References 74 publications

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“…Others described mental preoccupation with their symptoms and having less patience with their children as a result. However this is not consistently borne out in the literature; whilst some of the limited qualitative literature focusing on pre-menopausal women concurs [ 11 , 39 ], the results of the current study contrast with Ghetti et al’s findings [ 14 ], where some participants described primarily physical symptom bother and little to no emotions related to prolapse. Ghetti’s population had an average age of 60±10 years, which differs to the demographic of the current study (age range 32–41, mean 37 years) and that of Mirskaya et al [ 11 ] (age range of 25–45, mean 27 years).…”

Section: Discussioncontrasting

confidence: 99%

“…Ghetti’s population had an average age of 60±10 years, which differs to the demographic of the current study (age range 32–41, mean 37 years) and that of Mirskaya et al [ 11 ] (age range of 25–45, mean 27 years). Ramage’s [ 39 ] sample also had a younger mean age at 53 years and reported similar findings to those of the current study.…”

Section: Discussionsupporting

confidence: 88%

“…Another large study of nulliparous women [ 42 ] found increased bother in 55 to 64 year olds compared to younger age groups. Given the fact that the participants in this study were not mothers, and the findings of this and other work [ 11 , 37 , 39 ] that the mothering role is significantly impacted by symptoms of POP, further research is needed to examine the impact of POP among younger women with children.…”

Section: Discussionmentioning

confidence: 98%

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Pelvic organ prolapse: The lived experience

Carroll

Sullivan²,

Doody³

et al. 2022

PLoS ONE

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Background Up to 50% of women will develop pelvic organ prolapse (POP) over their lifetime. Symptoms include pain, bulge, urinary, bowel and sexual symptoms affecting all aspects of a woman’s life. This study explores the lived experience of women with POP. Methodology A qualitative study was undertaken. Following institutional ethical approval women from an online peer support group (n = 930 members) were recruited to participate in semi-structured interviews. Inclusion criteria stipulated women (> 18years), pre-menopausal, at least one-year post-partum, diagnosed with POP and aware of their diagnosis. Semi-structured interviews were undertaken with a clinician specialising in pelvic health. A battery of questions was designed to elicit discussion on their experience of being diagnosed with POP and its impact on daily life and relationships. Interviews were carried out via Zoom, recorded and transcribed. Thematic analysis was undertaken. Findings Fourteen women (32–41 years), para 1–3 participated. All had at least one vaginal birth; three had vacuum, four had forceps operative births. All had Grade 1–3 POP. Interviews lasted 40–100 minutes. Three core themes with subthemes were identified; biological/physical, psychological and social. Women were particularly affected in terms of sport and exercise participation, their own perceptions of their ability as mothers and fear of their condition worsening. They described societal attitudes, reporting stigma around POP and women’s pelvic health in general, expectations placed on women to put up with their symptoms and an idealised perception of new motherhood. Conclusions The impact of POP from a biopsychosocial perspective reflects other chronic conditions. Prevention, early education and supports for developing strong self-management approaches would be beneficial for long term management of this condition.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 98%

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Pelvic organ prolapse: The lived experience

Carroll

Sullivan²,

Doody³

et al. 2022

PLoS ONE

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“…The uterus is a particularly important organ for many women because, in addition to serving reproductive purposes, It also has associations with femininity and sexuality. For women, uterine removal has a particular meaning and has a tremendous impact on cultures, beliefs, and attitudes (Ramage et al, 2022). Hysterectomy is the surgical removal of uterus and its surrounding structure.…”

Section: Introductionmentioning

confidence: 99%

Required Information and Self Perceptions of Women Undergoing Hysterectomy at Women’s Health Hospital, Assiut University

mohamed

Abdel-hafez²,

Hassen³

2023

Assiut Scientific Nursing Journal

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Background:The most prevalent gynaecological operation today is the hysterectomy, which helps to alleviate numerous gynaecological issues. The aim: This study aimed to assess required information and self-perceptions of women undergoing hysterectomy. Research design: A Descriptive, cross sectional design was used. Setting: This study was carried out in gynecological department at Women's Health Hospital, Assiut University. Sample: The sample size was 114 women who chosen as convenient. Data collection: Data were collected by an interview questionnaire consisted of three parts: Part 1: Included Personal data, obstetric history, gynecological history and menopause status. Part 2: Included 13 questions regarding required information. Part 3: Included 10 questions regarding self-perceptions. Results:The current study findings illustrated that total information required before surgery were fulfilled in more than half of the studied women 64.0%.Total information required after surgery were not fulfilled in more than two-thirds of the studied women 71.1%. Selfperception of women undergoing hysterectomy had been affected negatively after hysterectomy on the half of the studied women in varying degree 50%. Conclusion : Information needs before surgery were fulfilled in more than half of the studied women but information needs after surgery weren't fulfilled in more than two-thirds of the studied women and selfperception had been affected negatively after hysterectomy on half of the studied women in varying degree. Recommendation: Use media channels to introduce adequate knowledge about hysterectomy for women undergoing hysterectomy from the start of diagnosis.

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“…Pelvic floor dysfunction (PFD) has become an increasing concern in recent years, with its incidence being significantly higher in females than in males due to the impact of pregnancy and childbirth. [1][2][3][4][5] PFDs, including pelvic organ prolapse, urinary incontinence, and sexual dysfunction, may lead to limited engagement in exercise, reduced self-image, significant economic burden, and poor quality of life. [6][7][8] The occurrence and development of PFDs are closely related to changes in pelvic floor structure and function.…”

Section: Introductionmentioning

confidence: 99%

Impact of parity on pelvic floor morphology and function: A retrospective study

Fang,

Zhang,

Lin

et al. 2023

Medicine

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To analyze the effect of parity on pelvic floor morphology and function during the postpartum period. A total of 971 participants, who attended the Fujian Maternity and Child Health Hospital (Fuzhou, China) between December 2019 and August 2021, were included. All participants were assessed using the modified Oxford scale (MOS), pelvic floor surface electromyography, and 3-dimensional pelvic floor ultrasound to assess pelvic floor morphology and function. Multivariate analysis revealed no differences among primipara, deuteripara, and tertipara in pre-baseline rest, phasic contraction, endurance contraction, post-baseline rest, and MOS, except for tonic contraction (P = .020), the amplitude of which was lower in primipara than in deuteripara in post hoc comparison (P = .008). Differences in bladder neck presentation and bladder neck descent were statistically significant in multivariate analysis (P = .002, P = .001, respectively), with the value of bladder neck presentation in primiparas being greater than that of deuteriparas and tertipara (P = .002, P = .008, respectively), and the value of bladder neck descent was lower than that of deuteripara and tertipara in further post hoc comparisons (P = .002, P = .003, respectively). Functional impairment was not statistically associated with parity according to the MOS score or surface electromyography. However, parity was significantly correlated with descent of the bladder neck, and most of the effects appeared to occur during the first delivery.

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“Broken”—How Identities as Women, Mothers and Partners Are Intertwined with the Experience of Living with and Seeking Treatment for Pelvic Organ Prolapse

Cited by 8 publications

References 74 publications

Pelvic organ prolapse: The lived experience

Pelvic organ prolapse: The lived experience

Required Information and Self Perceptions of Women Undergoing Hysterectomy at Women’s Health Hospital, Assiut University

Impact of parity on pelvic floor morphology and function: A retrospective study

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