{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:04:22Z","timestamp":1792659862531,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,12,17]],"date-time":"2013-12-17T00:00:00Z","timestamp":1387238400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Little is known of the experience and perceptions of care for survivors of emergency peripartum hysterectomy (<jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content>), an obstetric event that is increasing in incidence. We sought to explore women's experiences of <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content> to make recommendations for care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This qualitative study utilized purposive sampling through an online support group of women who experienced <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content>. Eligible participants were at least 18\u00a0years old, had their hysterectomy at least 6\u00a0months but no more than 3\u00a0years before the interview, had a surviving infant associated with the delivery, and did not report suicidal ideation. In\u2010depth, semi\u2010structured telephone interviews were conducted and analyzed using Constant Comparative Analysis. Kappa statistics assessed interrater reliability for two independent coders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifteen women participated with a mean age of 32.5\u00a0years. Most had a cesarean section, with uterine atony as the most common indication for <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content>. Kappa statistics indicated near\u2010perfect interrater agreement between two coders, ranging from .82 to .89. Seven major themes were identified: fear; pain; death and dying; numbness or delay in emotional reaction; bonding with baby; communication; and the need for information. Psychological upset occurred postpartum and was often delayed. A major finding is the need for additional follow\u2010up visits to address the emotional after\u2010effects and to fill in gaps in women's understanding and memory of what had occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Understanding women's experiences with <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content> can help practitioners address not only women's initial complications but provide needed long\u2010term support.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12070","type":"journal-article","created":{"date-parts":[[2013,12,17]],"date-time":"2013-12-17T18:52:26Z","timestamp":1387306346000},"page":"256-263","source":"Crossref","is-referenced-by-count":45,"title":["Women's Experiences, Emotional Responses, and Perceptions of Care After Emergency Peripartum Hysterectomy: A Qualitative Survey of Women from 6 Months to 3 Years Postpartum"],"prefix":"10.1111","volume":"40","author":[{"given":"Cara Z.","family":"de la Cruz","sequence":"first","affiliation":[{"name":"Department of Community and Family Health College of Public Health University of South Florida Tampa FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha L.","family":"Coulter","sequence":"additional","affiliation":[{"name":"Department of Community and Family Health College of Public Health University of South Florida Tampa FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"O'Rourke","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics College of Public Health University of South Florida Tampa FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Amina Alio","sequence":"additional","affiliation":[{"name":"Community and Preventive Medicine University of Rochester Medical Center Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen M.","family":"Daley","sequence":"additional","affiliation":[{"name":"Department of Community and Family Health College of Public Health University of South Florida Tampa FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles S.","family":"Mahan","sequence":"additional","affiliation":[{"name":"Department of Community and Family Health College of Public Health University of South Florida Tampa FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,12,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.02.021"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.06.012"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340701692651"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-006-0122-6"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000245445.36116.c6"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443619963761"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01316.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610500443196"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000215561.68257.c5"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080005409.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-007-0551-x"},{"issue":"2","key":"e_1_2_6_13_1","first-page":"206","article-title":"Reactions to emergency hysterectomy","volume":"65","author":"Tang GW","year":"1985","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.2307\/798843"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1020909529486"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646839808404563"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200407000-00004"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-6138(98)90111-5"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2004.01.003"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2009.00313.x"},{"key":"e_1_2_6_22_1","unstructured":"FoxS.Peer to peer health care. 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