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: En kvalitativ litteraturstudie om kvinnors upplevelser av bäckenbottendysfunktion till följd av förlossningsskador

Abstract

Background: Pelvic floor injuries after a vaginal birth are one of the most common causes of the development of pelvic floor dysfunction. The nurse has an important role in working from a holistic perspective, value of needs, rights and provide a person-centered care, which is important in the meeting with a care seeking woman. Aim: The aim was to describe women's experiences of living with pelvic floor dysfunction as a result of a maternal birth injury. Method: A literature study based on a systematic search for articles with a qualitative approach. Articles were reviewed based on HKR:s review template for qualitative articles and 14 articles were included in a text analysis based on Friberg's analysis model in five-steps. Results: The experiences were divided into four main categories; a changed self-image, a changed existence, meeting a healthcare system that fails, thoughts about the future. As well as nine subcategories; living in a body that feels broken, presence of shame affects the mental state, mourning an everyday life without limitations, sex and cohabitation are combined with grief and pain, life is adapted to changed conditions, disappointment over lack of information and support, the feeling of not being taken seriously, worries about a deterioration condition and uncertainty about a further pregnancy. Discussion: The method discussion discusses the literature study's method based on the four quality concepts; credibility, dependability, conformability and transferability. In the results discussion, four key results are highlighted; physical problems contributed to shame and impaired mental state, pelvic floor dysfunction limited women and life was adjusted accordingly and women experienced insufficient information and a dismissive response.

Date of Award	2021-Dec
Original language	Swedish
Supervisor	Jonas Carlström (Supervisor) & Marie Rask (Examiner)