Social Recovery: A Neglected Dimension of Caring for Women with Perineal Trauma in Iran
Abstract
Background: Social recovery during the postnatal period in women with perineal trauma is a little‑known concept. Therefore, this study was designed to explore the experiences of social recovery in women with childbirth‑related perineal trauma.
Materials and Methods: A qualitative approach using content analysis was adopted to study a purposive sample of 22 postnatal women with perineal trauma during birth at Omol‑banin Hospital, Mashhad, Iran from April 20th to December 25th, 2017. The participants were selected between 10 days to one year after childbirth. Data were collected through semi‑structured interviews. Conventional content analysis approach was performed, concurrently, with data collection. To organize data, the MAXQDA 10 was used.
Results: Social recovery after perineal trauma was conceptualized as ‘shifting from personal ill‑health to interactional empowerment’. Two generic categories emerged from data analysis including 1) impaired individual and social function, which was recognized by social isolation and lack of ability to manage daily life and 2) empowering social interactions, which was characterized by rebuilding social partnerships and returning to an interactive lifestyle.
Conclusions: Social isolation as the result of neglecting social recovery of women with severe perineal trauma endangers the mental health of mothers. Understanding the concept of social recovery for women with perineal trauma, especially in severe cases, will help health professionals to provide quality postpartum care for women with perineal trauma in a longer period after childbirth.
Keywords
Full Text:
PDFReferences
Spiby H, Munro J, editors. Evidence based midwifery: Applications in context. John Wiley & Sons; 2009.
Ott J, Gritsch E, Pils S, Kratschmar S, Promberger R, Seemann R, et al. A retrospective study on perineal lacerations in vaginal delivery and the individual performance of experienced midwives. BMC Pregnancy Childbirth 2015;15:270.
Hauck YL, Lewis L, Nathan EA, White C, Doherty DA. Risk factors for severe perineal trauma during vaginal childbirth: A Western Australian retrospective cohort study. Women Birth 2015;28:16‑20.
Villot A, Deffieux X, Demoulin G, Rivain AL, Trichot C, Thubert T. Management of third and fourth degree perineal tears: A systematic review. J Gynécol Obstét Biol Reprod 2015;44:802‑11.
Mesdaghinia E, Abbaszadeh F, Mesdaghinia A. Incidence of perineal trauma in normal spontaneous vaginal delivery in Shabih‑khani Maternity Hospital of Kashan during 2007‑9. KAUMS J (FEYZ) 2011;14:533‑8.
Zare O, Pasha H, Faramarzi M. Effect of perineal massage on the incidence of episiotomy and perineal laceration. Health 2014;6:10-14.
Cola A, Frigerio M, Manodoro S, Verri D, Interdonato ML, Nicoli E, et al. Third and fourth degree perineal tears: Incidence and risk factors in an Italian setting. Eur J Obstet Gynecol Reprod Biol 2016;206:e27.
Jahani Shourab N, Mirteimouri M, Latifnejad Roudsari R. A case series of severe perineal lacerations during normal childbirth. Iran J Obstet Gynecol Infertil 2018;21:103‑14. [In Persian].
Shoorab NJ. Mirteimouri M, Taghipour A, Latifnejad Roudsari R. Women’s experiences of emotional recovery from childbirth‑related Perineal trauma: A qualitative content analysis. Int J Commun Nursing Midwifery 2019;7:181‑91.
Murray SS, McKinney ES. Foundations of Maternal‑Newborn and Women’s Health Nursing. Elsevier Health Sciences; 2013.
World Health Organization. A Conceptual Framework for Action on the Social Determinants of Health. Discussion Paper Geneva, Switzerland: WHO Document Production Services; 2010.
Forouzi MA, Mohamadalizadeh S, Soltanahmadi Z, Gazanfari Z. Postpartum stressors from mother’s point of view. Iran J Obstet Gynecol Infertil 2010;12:39‑45.
Baghirzada L, Ibrahimov F, Macarthur A. Recovery after childbirth: A qualitative study of postpartum women. Clin Obstet Gynecol Reprod Med 2018;4:1‑5.
Rafiei H, Samiei M, Amini Razani M, Akbarian M. Social health in Iran: From a consensus-based definition to a criterion-based one. Iran J Psychiatry Clin Psychol 2010;62:299-300.
Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams obstetrics, 24e. Mcgraw-hill; 2014.
Song JE, Chae HJ, Kim CH. Changes in perceived health status, physical symptoms, and sleep satisfaction of postpartum women over time. Nursing Health Sci 2014;16:335‑42.
Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs 2008;62:107‑15.
Priddis H, Dahlen H, Schmied V. Women’s experiences following severe perineal trauma: A meta-ethnographic synthesis. J Adv Nurs 2013;69:748‑59.
Priddis H, Schmied V, Dahlen H. Women’s experiences following severe perineal trauma: A qualitative study. BMC Women’s Health 2014;14:32.
Australian Health Ministers’ Advisory Council. A national framework for recovery‑oriented mental health services: Policy and theory. 2013.
Jacobson N, Greenley D. What is recovery? A conceptual model and explication. Psychiatr Serv 2001;52:482‑5.
Negron R, Martin A, Almog M, Balbierz A, Howell EA. Social support during the postpartum period: Mothers’ views on needs, expectations, and mobilization of support. Matern Child Health J 2013;17:616‑23.
Razurel C, Bruchon‑Schweitzer M, Dupanloup A, Irion O, Epiney M. Stressful events, social support and coping strategies of primiparous women during the postpartum period: A qualitative study. Midwifery 2011;27:237‑42.
Schwab‑Reese LM, Schafer EJ, Ashida S. Associations of social support and stress with postpartum maternal mental health symptoms: Main effects, moderation, and mediation. Women Health 2017;57:723‑40.
Keyes SE, Webber SH, Beveridge K. Empowerment through care: Using dialogue between the social model of disability and an ethic of care to redraw boundaries of independence and partnership between disabled people and services. Alter 2015;9:236‑48.
Swenson CW, DePorre JA, Haefner JK, Berger MB, Fenner DE. Postpartum depression screening and pelvic floor symptoms among women referred to a specialty postpartum perineal clinic. Am J Obstet Gynecol 2018; 218:335‑e1.
Refbacks
- There are currently no refbacks.