{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T14:56:47Z","timestamp":1781621807106,"version":"3.54.5"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005376","name":"Mittuniversitetet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005376","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003252","name":"Lund University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003252","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study explores women\u2019s experiences of pelvic floor (PF) care after childbirth, revealing significant insights into their physical and emotional journeys during the transformative period following birth in a Swedish tertiary hospital context. The focus is on women who sustained third- or fourth-degree PF injuries after vaginal birth, viewed through the perspective of universal design (UD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study uses qualitative methods, observations, and interviews to illuminate challenges in PF care. Qualitative content analysis is used to identify themes emerging from participants\u2019 narratives. Comics serve as a visual and multimodal method to depict the variety and sequencing of women\u2019s narratives in multimodal ways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis identified two main themes. The first, the Bubbleverse, is a metaphor for women\u2019s experiences across interconnected phases of birth and recovery, where PF injuries were often overshadowed by vaginal birth, newborn care, and future uncertainty. The second theme reflected women\u2019s recommendations for healthcare, calling for timely, individualised communication, and structured support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study concludes with a call to reconfigure the fragmented and underprioritised aftercare. Alternative care pathways tailored to individual needs are essential for more equitable PF care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06770-w","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T14:50:34Z","timestamp":1781621434000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Bubbleverse: Women\u2019s Experiences of Pelvic Floor Care and Their Journey Through Bubbles"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0838-3366","authenticated-orcid":false,"given":"Semra","family":"Sahin-Haglund","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8464-7762","authenticated-orcid":false,"given":"Thomas","family":"Torstensson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8184-2132","authenticated-orcid":false,"given":"Jimmy","family":"Nor\u00e9n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0962-2899","authenticated-orcid":false,"given":"Per-Olof","family":"Hedvall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4367-4959","authenticated-orcid":false,"given":"Sahruh","family":"Turkmen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"6770_CR1","unstructured":"1177, Health guide. Birth letter. 2024. https:\/\/www.1177.se\/Vasternorrland\/barn--gravid\/forlossning\/forberedelser-infor-forlossningen\/forlossningsbrev---forlossningsplan\/. Accessed 13 Oct 2025."},{"key":"6770_CR2","unstructured":"Nationella riktlinjer 2025: Graviditet, f\u00f6rlossning och tiden efter. National Board of Health and Welfare; 2025. Article nr 2025\u20133\u20139443. https:\/\/www.socialstyrelsen.se\/kunskapsstod-och-regler\/regler-och-riktlinjer\/nationella-riktlinjer\/nationella-riktlinjer-graviditet-forlossning-och-tiden-efter\/huvudbudskap\/. Accessed 23 Sep\u00a02025."},{"key":"6770_CR3","unstructured":"B\u00e4ckenbottendysfunktion Prioriteringsst\u00f6d till dig som beslutar om resurser i h\u00e4lso- och sjukv\u00e5rden. The Swedish National Board of Health and Welfare; 2025. (Nationella riktlinjer 2025). Report No: 2025\u20136\u20139661. Available from: https:\/\/www.socialstyrelsen.se\/publikationer\/nationella-riktlinjer-2025--backenbottendysfunktion--prioriteringsstod-till-dig-som-beslutar-om-resurser-i-halso--och-sjukvarden--2025-6-9661\/.\u00a0 Accessed 6 Sep 2025."},{"issue":"3","key":"6770_CR4","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1111\/j.1523-536X.1985.tb00954.x","volume":"12","author":"A Bennett","year":"1985","unstructured":"Bennett A. The birth of a first child: do women\u2019s reports change over time? Birth. 1985;12(3):153\u20138. https:\/\/doi.org\/10.1111\/j.1523-536X.1985.tb00954.x.","journal-title":"Birth"},{"key":"6770_CR5","doi-asserted-by":"publisher","unstructured":"Tosto V, Ceccobelli M, Lucarini E, Tortorella A, Gerli S, Parazzini F, et al. Maternity blues: a narrative review. J Pers Med. 2023;13(1):154, 154. https:\/\/doi.org\/10.3390\/jpm13010154.","DOI":"10.3390\/jpm13010154"},{"issue":"2","key":"6770_CR6","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1177\/1468794120918845","volume":"21","author":"PJ Kuttner","year":"2021","unstructured":"Kuttner PJ, Weaver-Hightower MB, Sousanis N. Comics-based research: the affordances of comics for research across disciplines. Qual Res. 2021;21(2):195\u2013214. https:\/\/doi.org\/10.1177\/1468794120918845.","journal-title":"Qual Res"},{"key":"6770_CR7","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2025.2491831","author":"PO Hedvall","year":"2025","unstructured":"Hedvall PO, St\u00e5hl A, Iwarsson S. Accessibility, usability and universal design \u2013 still confusing? Harmonisation of key concepts describing person-environment interaction to create conditions for participation. Disabil Rehabil. 2025. https:\/\/doi.org\/10.1080\/09638288.2025.2491831.","journal-title":"Disabil Rehabil"},{"key":"6770_CR8","unstructured":"Suchman L. Plans and situated actions: the problem of human-machine communication. Nachdr. Cambridge Univ. Press; 1999. p. 203."},{"issue":"1","key":"6770_CR9","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1080\/10400435.1998.10131957","volume":"10","author":"RL Mace","year":"1998","unstructured":"Mace RL. Universal design in housing. Assist Technol. 1998;10(1):21\u20138. https:\/\/doi.org\/10.1080\/10400435.1998.10131957.","journal-title":"Assist Technol"},{"key":"6770_CR10","first-page":"670","volume-title":"Bryman\u2019s social research methods","author":"T Clark","year":"2021","unstructured":"Clark T, Foster L, Sloan L, Bryman A. Bryman\u2019s social research methods. 6th ed. Oxford University Press; 2021. p. 670.","edition":"6th ed"},{"key":"6770_CR11","doi-asserted-by":"crossref","unstructured":"Yock P, Zenios S, Makower J, Brinton T, Kumar U, Watkins J, et al. Biodesign - The process of innovating medical technologies, second edn. Cambridge University Press. 2016;42:76.","DOI":"10.1017\/CBO9781316095843"},{"key":"6770_CR12","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.nedt.2017.06.002","volume":"56","author":"UH Graneheim","year":"2017","unstructured":"Graneheim UH, Lindgren BM, Lundman B. Methodological challenges in qualitative content analysis: a discussion paper. Nurse Educ Today. 2017;56:29\u201334. https:\/\/doi.org\/10.1016\/j.nedt.2017.06.002.","journal-title":"Nurse Educ Today"},{"issue":"2","key":"6770_CR13","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","volume":"24","author":"UH Graneheim","year":"2004","unstructured":"Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105\u201312. https:\/\/doi.org\/10.1016\/j.nedt.2003.10.001.","journal-title":"Nurse Educ Today"},{"key":"6770_CR14","doi-asserted-by":"publisher","first-page":"103632","DOI":"10.1016\/j.ijnurstu.2020.103632","volume":"108","author":"BM Lindgren","year":"2020","unstructured":"Lindgren BM, Lundman B, Graneheim UH. Abstraction and interpretation during the qualitative content analysis process. Int J Nurs Stud. 2020;108:103632. https:\/\/doi.org\/10.1016\/j.ijnurstu.2020.103632","journal-title":"Int J Nurs Stud"},{"issue":"1","key":"6770_CR15","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1111\/j.1365-2648.2007.04569.x","volume":"62","author":"S Elo","year":"2008","unstructured":"Elo S, Kyng\u00e4s H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107\u201315. https:\/\/doi.org\/10.1111\/j.1365-2648.2007.04569.x","journal-title":"J Adv Nurs"},{"key":"6770_CR16","doi-asserted-by":"publisher","unstructured":"Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23(4):334\u201340. https:\/\/doi.org\/10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G.","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"6770_CR17","unstructured":"NVIVO Qualitative Data Analysis Software. Lumivero; 2024. https:\/\/lumivero.com\/products\/nvivo\/. Accessed 26\u00a0March\u00a02024."},{"key":"6770_CR18","unstructured":"Nyberg R. Nyberg p\u00e5 N\u00e4tet. Robert Nyberg\u2019s website. 2025. https:\/\/www.robertnyberg.se\/. Accessed 31 July 2025."},{"key":"6770_CR19","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/j.midw.2018.02.015","volume":"61","author":"M Lindqvist","year":"2018","unstructured":"Lindqvist M, Persson M, Nilsson M, Uustal E, Lindberg I. \u2018A worse nightmare than expected\u2019 - a Swedish qualitative study of women\u2019s experiences two months after obstetric anal sphincter muscle injury. Midwifery. 2018;61:22\u20138. https:\/\/doi.org\/10.1016\/j.midw.2018.02.015","journal-title":"Midwifery"},{"key":"6770_CR20","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.srhc.2018.11.002","volume":"19","author":"M Lindqvist","year":"2019","unstructured":"Lindqvist M, Lindberg I, Nilsson M, Uustal E, Persson M. \u201cStruggling to settle with a damaged body\u201d \u2013 a Swedish qualitative study of women\u2019s experiences one year after obstetric anal sphincter muscle injury (OASIS) at childbirth. Sex Reprod Healthc. 2019;19:36\u201341. https:\/\/doi.org\/10.1016\/j.srhc.2018.11.002","journal-title":"Sex Reprod Healthc"},{"issue":"2","key":"6770_CR21","doi-asserted-by":"publisher","first-page":"100397","DOI":"10.1016\/j.bjpt.2022.100397","volume":"26","author":"E Johannesson","year":"2022","unstructured":"Johannesson E, Sj\u00f6berg \u00c5L, Segerbrand N, FagevikOls\u00e9n M, Gutke A. Women\u2019s experiences of obstetric anal sphincter injury and physical therapy interventions - a qualitative study. Braz J Phys Ther. 2022;26(2):100397. https:\/\/doi.org\/10.1016\/j.bjpt.2022.100397","journal-title":"Braz J Phys Ther"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-026-06770-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-026-06770-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-026-06770-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T14:50:48Z","timestamp":1781621448000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-026-06770-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,16]]},"references-count":21,"alternative-id":["6770"],"URL":"https:\/\/doi.org\/10.1007\/s00192-026-06770-w","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,16]]},"assertion":[{"value":"13 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}