{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T02:03:33Z","timestamp":1783735413618,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,8,13]],"date-time":"2014-08-13T00:00:00Z","timestamp":1407888000000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Obstetric anal sphincter injury (<jats:styled-content style=\"fixed-case\">OASIS<\/jats:styled-content>) following vaginal delivery increases the risk of anal incontinence (<jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>). Subsequent vaginal delivery and ageing increase the risk of worsening symptoms. Very little literature describes any in\u2010depth understanding of what it is like to live with <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content> following a history of known <jats:styled-content style=\"fixed-case\">OASIS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe and interpret women's experience of <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content> following <jats:styled-content style=\"fixed-case\">OASIS<\/jats:styled-content> and its impact on quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An interpretive phenomenological study was conducted in a level 2 tertiary hospital in South Australia. Women with a history of <jats:styled-content style=\"fixed-case\">OASIS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content> were purposefully recruited. The St Marks Vaizey score was utilised to identify symptom severity. Semi\u2010structured open\u2010ended interviews were conducted, and data were analysed utilising Van Manen thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants (<jats:italic>n<\/jats:italic>\u00a0=\u00a010) aged 26\u201356\u00a0years. All women were symptomatic of <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content> following <jats:styled-content style=\"fixed-case\">OASIS<\/jats:styled-content>, and 80% had received a primary <jats:styled-content style=\"fixed-case\">OASIS<\/jats:styled-content> at their first vaginal delivery. The St Marks Vaizey score mean was 9.1 (range within 4\u201322). Three essential themes <jats:italic>grieving for loss, silence, striving for normality<\/jats:italic> with eight subthemes identified a significant sense of loss and psychological impact of <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content> for this group of women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Health professionals require a greater understanding of the negative impact of <jats:styled-content style=\"fixed-case\">OASIS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content> on women's quality of life. This may improve the management, education and clinical care of this condition which may result as a consequence of <jats:styled-content style=\"fixed-case\">OASIS<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12230","type":"journal-article","created":{"date-parts":[[2014,8,13]],"date-time":"2014-08-13T14:07:41Z","timestamp":1407938861000},"page":"377-381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Teetering near the edge; women's experiences of anal incontinence following obstetric anal sphincter injury: an interpretive phenomenological research study"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3928-3290","authenticated-orcid":false,"given":"Julie","family":"Tucker","sequence":"first","affiliation":[{"name":"Robinson Institute School Paediatrics and Reproductive Health University of Adelaide Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Clifton","sequence":"additional","affiliation":[{"name":"Robinson Institute School Paediatrics and Reproductive Health University of Adelaide Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Wilson","sequence":"additional","affiliation":[{"name":"School of Medicine Flinders University South Australia Adelaide South Australia Australia"},{"name":"Prince of Wales Clinical School University of New South Wales Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,13]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Royal College of Obstetricians and Gynaecologists.The management of third and fourth\u2010degree perineal tears Green\u2010top guideline No.29 2007. 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