Jones Laura, Delicate Amy, Waigwa Susan, Hodgetts Morton Victoria, Morris R Katie, Whitehurst Jane, Hillman Sarah
Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK
Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.
BMJ Open. 2025 Apr 25;15(4):e088248. doi: 10.1136/bmjopen-2024-088248.
Childbirth-related perineal trauma (CRPT) is the most common complication of childbirth, affecting 80% of women after a vaginal birth. However, there is a lack of evidence regarding the care of women following CRPT. Specifically, there is a lack of understanding regarding appropriate postnatal CRPT management, wound assessment and treatment of complications. To improve maternal outcomes, this qualitative study aims to explore women's and healthcare professionals' (HCPs) views and experiences of current CRPT wound management and healing to understand what they would want from an assessment tool and related care pathway being developed by the Chapter programme of research.
A qualitative study guided by an interpretive descriptive approach will be undertaken to explore the views and experiences around CRPT. This will be conducted through individual interviews and focus groups with women (n∼40 participants) who have experienced CRPT within the last 12 months and individual interviews with HCPs (n∼25) who care for women who have experienced CRPT. Supported by specialist interpreters where needed, data collection will be audio recorded and transcribed. Data will initially be analysed using codebook thematic analysis for targeted analysis and then using the Framework Method to facilitate a systematic and flexible exploration of themes within and between groups.
This study has received ethical approval from the University of Birmingham Science, Technology, Engineering and Mathematical Ethics Review Committee (ERN_23-0666). Supported by a Patient Advisory Group, this study will contribute to the overall outputs and dissemination of the Chapter programme of research, including a core outcome set for trials investigating the care of women experiencing CRPT, the development of a Wound Assessment Tool, professional resources and guidelines for best practice and patient resources. Findings will be disseminated via conference presentations, peer-reviewed publications, the National Institute for Health and Care Research Journals Library, relevant media platforms and plain language summaries, including infographics.
分娩相关会阴创伤（CRPT）是分娩最常见的并发症，80%经阴道分娩的女性会受到影响。然而，关于CRPT后女性护理方面缺乏证据。具体而言，对于产后CRPT的恰当管理、伤口评估及并发症治疗缺乏了解。为改善产妇结局，本定性研究旨在探讨女性及医疗保健专业人员（HCPs）对当前CRPT伤口管理与愈合的看法和经历，以了解她们对由章节研究计划正在开发的评估工具及相关护理路径的期望。
将采用以解释性描述方法为指导的定性研究，以探讨围绕CRPT的看法和经历。这将通过对过去12个月内经历过CRPT的女性（约40名参与者）进行个体访谈和焦点小组访谈，以及对照顾经历过CRPT女性的HCPs（约25名）进行个体访谈来开展。在需要时由专业口译员提供支持，数据收集将进行录音和转录。数据最初将使用编码本主题分析进行针对性分析，然后使用框架法促进对组内和组间主题进行系统且灵活的探索。
本研究已获得伯明翰大学科学、技术、工程和数学伦理审查委员会（ERN_23 - 0666）的伦理批准。在患者咨询小组的支持下，本研究将为章节研究计划的整体产出和传播做出贡献，包括针对调查CRPT女性护理的试验的核心结局集、伤口评估工具的开发、最佳实践的专业资源和指南以及患者资源。研究结果将通过会议报告、同行评审出版物、国家卫生与保健研究所期刊图书馆、相关媒体平台以及包括信息图表在内的通俗易懂的总结进行传播。
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