Official Title: The Assessment of Postnatal Perineal Wound Perspectives of Midwives and Women
Status: NOT_YET_RECRUITING
Status Verified Date: 2024-08
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Around 85 of women who give birth vaginally experience a perineal wound which could be a tear or an incision between the vaginal opening and the anus Despite that there is often insufficient exploration of how postnatal perineal wound assessment is conducted in healthcare research
Clinical guidelines from the National Institute for Health and Care Excellence NICE touch on the typical signs of wound infection but do not offer detailed guidance on the execution of perineal assessment Existing research evidence is mostly focused on long-term complications management of perineal trauma immediately after birth or severe perineal trauma The limited research on perineal wound care highlights how poor communication and information provision harm women at a physical and psychological level negatively affecting daily tasks such as caring for their newborns
Although there have been few studies examining womens or midwives perspectives on perineal wound assessment in the context of uncomplicated wounds their perspectives have never been jointly investigated to produce a comprehensive overview Moreover no research has had a clinical focus investigating how the assessment is conducted in practice and what informs this practice except from womens reports of perceived sub-standard care received
Therefore this proposed research is clinically grounded and aims to explore womens and midwives perspectives on postnatal perineal wound assessment This is needed to identify evidence-based practices or lack thereof in order to determine ways in which the experience can be improved for women and to have a more positive impact on their wellbeing
Eight to ten pairs of midwives-women will be first observed whilst the routine assessment is conducted to understand what happens during this episode of care and then they will be separately interviewed within a few days to gather further understanding Recruitment will be in a single centre which is a tertiary unit in the UK