Department of Obstetrics and Gynecology, Wollega University, Nekemte, Ethiopia.
Department of Population and Family Health, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
BMC Pregnancy Childbirth. 2024 Oct 24;24(1):697. doi: 10.1186/s12884-024-06890-5.
Uterine rupture is a rare but severe obstetric complication that poses significant risks to maternal and fetal health. Understanding the lived experiences of individuals who have undergone uterine rupture is crucial for improving care and support for those affected by this condition. This qualitative phenomenological study aimed to explore the experiences of individuals who have experienced uterine rupture.
The study employed a qualitative phenomenological approach, conducting 12 in-depth interviews and four key informant interviews with individuals who had experienced uterine rupture. Data analysis was conducted thematically using Atlas ti software to identify patterns and themes within the participants' narratives.
The analysis of the interviews highlighted six key themes: experience during diagnosis and initial symptoms, perceived predisposing factors of uterine rupture, challenges faced by individuals with uterine rupture, impacts on their lives, and coping and resilience strategies. The findings revealed that women often failed to recognise the initial symptoms of uterine rupture due to a lack of preparation, a preference for home deliveries, husband refusal, and a general lack of awareness. This delay in seeking care resulted in severe consequences, including the loss of their babies, infertility, fistula, psychological trauma, and disruptions to daily life and relationships. To cope, many women resorted to accepting their situation, isolating themselves, and using traditional healing techniques.
This study's findings provide valuable insights into the complex and multifaceted nature of uterine rupture, shedding light on the experiences of those affected by this condition. To address the challenges, it is essential to enhance awareness and education through community education programs and comprehensive antenatal classes. Additionally, improving access to healthcare by strengthening health infrastructure and deploying mobile health clinics can ensure better prenatal care. Furthermore, encouraging hospital deliveries through incentives and the support of community health workers can reduce risks. Providing psychological counselling and establishing support groups can help affected women cope with the consequences. Moreover, engaging men in maternal health through educational programs and involving them in antenatal care can foster better support. Finally, promoting safe traditional practices by integrating traditional healers and respecting cultural sensitivities can increase acceptance and adherence.
子宫破裂是一种罕见但严重的产科并发症，对母婴健康构成重大威胁。了解经历过子宫破裂的个体的生活经历对于改善对受这种情况影响的人的护理和支持至关重要。这项定性现象学研究旨在探讨经历过子宫破裂的个体的体验。
该研究采用定性现象学方法，对 12 名经历过子宫破裂的个体进行了深入访谈和 4 名关键知情人访谈。使用 Atlas ti 软件对数据进行主题分析，以识别参与者叙述中的模式和主题。
访谈分析突出了六个关键主题：诊断和初始症状期间的经历、子宫破裂的感知诱发因素、经历子宫破裂的个体面临的挑战、对他们生活的影响、应对和恢复力策略。研究结果表明，由于缺乏准备、偏好家庭分娩、丈夫拒绝和普遍缺乏意识，女性经常无法识别子宫破裂的初始症状。这种寻求护理的延迟导致了严重的后果，包括失去婴儿、不孕、瘘管、心理创伤以及日常生活和人际关系的中断。为了应对，许多女性选择接受自己的情况、孤立自己并使用传统的治疗技术。
这项研究的结果提供了对子宫破裂复杂和多方面性质的宝贵见解，揭示了受这种情况影响的人的经历。为了解决这些挑战，通过社区教育计划和全面的产前课程提高认识和教育至关重要。此外，通过加强卫生基础设施和部署流动保健诊所来改善获得医疗保健的机会，可以确保更好的产前保健。此外，通过激励和支持社区卫生工作者来鼓励医院分娩，可以降低风险。提供心理咨询和建立支持小组可以帮助受影响的妇女应对后果。此外，通过教育计划让男性参与产妇保健并让他们参与产前保健，可以提供更好的支持。最后，通过整合传统治疗师并尊重文化敏感性来促进安全的传统实践，可以提高接受度和依从性。
