Views of emergency research (VERA): A qualitative study of women and their partners' views of recruitment to trials in severe postpartum haemorrhage

Snowdon, Claire; Elbourne, Diana; Forsey, Mary; Alfirević, Z̄arko

doi:10.1016/j.midw.2011.11.009

Cited by 9 publications

(18 citation statements)

References 36 publications

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“…These interventions, and the uncontrolled bleeding that characterise severe PPH, would suggest that massive PPH is likely to be a traumatic experience for women and their partners, and a challenging setting for the proposed clinical trial. Information about how women and partners experience the haemorrhage, management of the emergency and how they later view events, would therefore be a useful aid to inform development of the protocol for that trial (Snowdon et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Information-hungry and disempowered: A qualitative study of women and their partners' experiences of severe postpartum haemorrhage

et al. 2012

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Section: Introductionmentioning

confidence: 99%

Information-hungry and disempowered: A qualitative study of women and their partners' experiences of severe postpartum haemorrhage

et al. 2012

Self Cite

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“…Some of the women included in this study agree, viewing discussing consent at such a time as ‘pointless’. Snowdon et al asked women to consider hypothetically what they would do in this situation. Interviewees rejected decision‐making before delivery, and by their partners/representative at the time of the emergency.…”

Section: Discussionmentioning

confidence: 99%

“…Deferred consent precedents have been set and evaluated in the context of emergency medicine and paediatric trials . However, in obstetrics, deferred consent had only been explored hypothetically . The use of a verbal consent within emergency peripartum trials is associated with professional anxiety .…”

Section: Introductionmentioning

confidence: 99%

What women think about consent to research at the time of an obstetric emergency: a qualitative study of the views of a cohort of World Maternal Antifibrinolytic Trial participants

Houghton

Kingdon

Dower

et al. 2018

BJOG

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ObjectiveThe World Maternal Antifibrinolytic (WOMAN) Trial was the first in the UK to use the option of waiver of informed consent at the time of an obstetric emergency. This qualitative study aimed to investigate participants’ views of the acceptability of the recruitment methods used.DesignQualitative study using in‐depth interviews with women who did and did not give consent at the time of their recruitment to the WOMAN Trial.SettingHighest UK recruitment site for the WOMAN Trial (129/569). Interviews were conducted in participants’ homes.PopulationAbout 40 of the 129 women who were recruited to the WOMAN Trial at one UK site were invited to take part, 15 women were interviewed.MethodsQualitative, interview study.Main outcome measuresFacilitators and barriers to successful recruitment during obstetric emergencies. Guidance for future researchers.ResultsFindings revealed that what is important is not so much the consent process used or a signature on a form, but the way in which consent is obtained. Clinicians who successfully negotiate consent to research during childbirth emergencies engage in a ‘humane choreography’ of words and actions. This emphasises the importance of prompt decision‐making and treatment, while respecting the woman's personal situation and experience.ConclusionsOur findings do not support a single pathway to consent in the context of an obstetric emergency. Women understand that consent to research in an emergency is complex. Clinicians’ skills in considering the clinical, ethical, and emotional aspects within the context of the clinical emergency can hamper or promote women's satisfaction.Tweetable abstractStudy reports on women's views of consent to research in an obstetric emergency.Plain Language SummaryWhy and how was the study carried out?We undertook this study to find out what women thought about being included in a research study called the WOMAN Trial at the time they were being treated for heavy bleeding after giving birth. Some women had been asked if they wanted to be a part of the research at the time they were bleeding. Others were asked later, after they had recovered. We conducted interviews with 15 women who had been involved and asked what they thought about the way they had been asked, their preferences and ideas for improvements in future similar studiesWhat were the main findings?Women understood how difficult it was for their doctors and midwives to ask them about the research study. They were pleased to have been included in the research and were mostly happy with the way they gave consent. Women's views were similar whether they were asked about the research at the time of the bleeding or after they had recovered. The most important thing was that doctors and midwives carefully thought about the situation the woman found herself in and how this might make her feel, so they could tailor their approach accordingly.What are the limitations of the work?This study only involved women from one hospital. The WOMAN Trial included women from many areas of the UK and other ...

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“…A growing body of work demonstrates the value of engaging stakeholders in this way and highlights how qualitative investigation might: expose specific misunderstandings about trial processes; illuminate local organizational cultures and norms; map distinctive characteristics; identify important environmental factors; and expose researcher attitudes which are impacting upon trial operation …”

Section: Introductionmentioning

confidence: 99%

“…stakeholders in the generation, operation, and management of clinical studies. [21][22][23][24][25] A growing body of work demonstrates the value of engaging stakeholders in this way [26][27][28][29][30] and highlights how qualitative investigation might: expose specific misunderstandings about trial processes; 31 illuminate local organizational cultures and norms; 11 map distinctive characteristics; 32,33 identify important environmental factors; 16 and expose researcher attitudes which are impacting upon trial operation. 34 Here, we consider a stakeholder-consultative process to inform retention strategies in the Scaphoid Waist internal Fracture Fixation Trial (SWIFFT) (http://www.nets.nihr.ac.uk/projects/hta/113637).…”

mentioning

confidence: 99%

Interventions to improve retention in a surgical, clinical trial: A pragmatic, stakeholder‐driven approach

Leighton

Brealey

Dias

2018

J Evidence Based Medicine

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Views of emergency research (VERA): A qualitative study of women and their partners' views of recruitment to trials in severe postpartum haemorrhage

Cited by 9 publications

References 36 publications

Information-hungry and disempowered: A qualitative study of women and their partners' experiences of severe postpartum haemorrhage

Information-hungry and disempowered: A qualitative study of women and their partners' experiences of severe postpartum haemorrhage

What women think about consent to research at the time of an obstetric emergency: a qualitative study of the views of a cohort of World Maternal Antifibrinolytic Trial participants

Interventions to improve retention in a surgical, clinical trial: A pragmatic, stakeholder‐driven approach

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