{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:01:11Z","timestamp":1774526471955,"version":"3.50.1"},"reference-count":54,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,12,21]]},"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore women's lived experiences of a dehisced perineal wound following childbirth and how they felt participating in a pilot and feasibility randomised controlled trial (RCT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A nested qualitative study using semistructured interviews, underpinned by descriptive phenomenology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants and setting<\/jats:title>\n                    <jats:p>A purposive sample of six women at 6\u20139\u2005months postnatal who participated in the RCT were interviewed in their own homes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Following Giorgi's analytical framework the verbatim transcripts were analysed for key themes. Women's lived experiences revealed 4 emerging themes: (1) Physical impact, with sub-themes focusing upon avoiding infection, perineal pain and the impact of the wound dehiscence upon daily activities; (2) Psychosocial impact, with sub-themes of denial, sense of failure or self-blame, fear, isolation and altered body image; (3) Sexual impact; and (4) Satisfaction with wound healing. A fifth theme \u2018participating in the RCT\u2019 was \u2018a priori\u2019 with sub-themes centred upon understanding the randomisation process, completing the trial questionnaires, attending for hospital appointments and acceptability of the treatment options.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To the best of our knowledge, this is the first qualitative study to grant women the opportunity to voice their personal experiences of a dehisced perineal wound and their views on the management offered. The powerful testimonies presented disclose the extent of morbidity experienced while also revealing a strong preference for a treatment option.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"XXXX\" ext-link-type=\"uri\">ISRCTN05754020<\/jats:ext-link>\n                      ; results.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-013008","type":"journal-article","created":{"date-parts":[[2017,2,10]],"date-time":"2017-02-10T20:40:29Z","timestamp":1486759229000},"page":"e013008","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["Perineal resuturing versus expectant management following vaginal delivery complicated by a dehisced wound (PREVIEW): a nested qualitative study"],"prefix":"10.1136","volume":"7","author":[{"given":"L","family":"Dudley","sequence":"first","affiliation":[{"name":"The Maternity Centre, Royal Stoke, University Hospitals of North Midlands, Staffordshire, UK"},{"name":"Faculty of Health Sciences, Staffordshire University, Stafford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Kettle","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Staffordshire University, Stafford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Waterfield","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation and Institute for Primary Care and Health Sciences, Keele University, Staffordshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled M K","family":"Ismail","sequence":"additional","affiliation":[{"name":"Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,2,10]]},"reference":[{"key":"2025121600191083000_7.2.e013008.1","unstructured":"Royal College of Obstetricians and Gynaecologists (RCOG). 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