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

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 li...

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Autores principales: Dunning, T., Harris, J. M., Sandall, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835830/
https://www.ncbi.nlm.nih.gov/pubmed/27089951
http://dx.doi.org/10.1186/s12884-016-0870-7
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author Dunning, T.
Harris, J. M.
Sandall, J.
author_facet Dunning, T.
Harris, J. M.
Sandall, J.
author_sort Dunning, T.
collection PubMed
description 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12884-016-0870-7) contains supplementary material, which is available to authorized users.
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spelling pubmed-48358302016-04-20 Women and their birth partners’ experiences following a primary postpartum haemorrhage: a qualitative study Dunning, T. Harris, J. M. Sandall, J. BMC Pregnancy Childbirth Research Article 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12884-016-0870-7) contains supplementary material, which is available to authorized users. BioMed Central 2016-04-18 /pmc/articles/PMC4835830/ /pubmed/27089951 http://dx.doi.org/10.1186/s12884-016-0870-7 Text en © Dunning et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Dunning, T.
Harris, J. M.
Sandall, J.
Women and their birth partners’ experiences following a primary postpartum haemorrhage: a qualitative study
title Women and their birth partners’ experiences following a primary postpartum haemorrhage: a qualitative study
title_full Women and their birth partners’ experiences following a primary postpartum haemorrhage: a qualitative study
title_fullStr Women and their birth partners’ experiences following a primary postpartum haemorrhage: a qualitative study
title_full_unstemmed Women and their birth partners’ experiences following a primary postpartum haemorrhage: a qualitative study
title_short Women and their birth partners’ experiences following a primary postpartum haemorrhage: a qualitative study
title_sort women and their birth partners’ experiences following a primary postpartum haemorrhage: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835830/
https://www.ncbi.nlm.nih.gov/pubmed/27089951
http://dx.doi.org/10.1186/s12884-016-0870-7
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