Evidence map›Paper›PMID 33238899›Full record

ArticleBMC pregnancy and childbirth2020

Women's experiences following emergency Peripartum hysterectomy at St. Francis hospital Nsambya. A qualitative study.

Patrick Pilli, Peter Sekweyama, Anthony Kayira

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Patrick PilliDepartment of Obstetrics and Gynecology, St. Francis Hospital Nsambya, P.O.Box 7146, Kampala, Uganda. patricko1759@gmail.com.
Peter SekweyamaDepartment of Obstetrics and Gynecology, St. Francis Hospital Nsambya, P.O.Box 7146, Kampala, Uganda.
Anthony KayiraDepartment of Obstetrics and Gynecology, St. Francis Hospital Nsambya, P.O.Box 7146, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency peripartum hysterectomy (EPH) is a known remedy for saving women's lives when faced with the challenging situation of severe post partum hemorrhage not responsive to conservative management. However, EPH by its nature is also a traumatic birth event that causes serious physical, emotional and psychological harm. Unfortunately at St. Francis Hospital Nsambya nothing much is known about these experiences since no study has been undertaken and these women are not routinely followed up. The purpose of this study was to explore these emotional experiences.

methodsThis was a qualitative phenomenological study carried out between August and December 2018. All those women who had undergone EPH between January 2015 and August 2018 were eligible to participate in the study. Purposive sampling was used. 18 women were interviewed before saturation was reached. All interviews were audio-recorded and then transcribed verbatim. Thematic analysis was used to analyze the data.

resultsThree major themes were identified as the main experiences of these women in this study and they were; Loss of Womanhood, Joy for being alive and Loss of marital safety.

conclusionWomen experience serious emotional consequences following EPH. We recommend routine follow-up to help appreciate these experiences and advise them on appropriate mitigating measures.

Indexed as

AdultEmergenciesEmotionsFemaleHumansHysterectomyInterviews as TopicPeripartum PeriodPhysician-Patient RelationsPostpartum HemorrhagePostpartum PeriodPregnancyQualitative ResearchUgandaEmergency peripartum hysterectomyEmotional experiences after traumatic birthSevere postpartum hemorrhage

Identifiers

PMID33238899
PMCPMC7687817

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