Evidence map›Paper›PMID 34565424›Full record

Trial reportTrials2021

Women's experiences of receiving information about and consenting or declining to participate in a randomized controlled trial involving episiotomy in vacuum-assisted delivery: a qualitative study.

Jenny Ericson, Cecilia Anagrius, Agnes Rygaard, Lisa Guntram, Sophia Brismar Wendel, Susanne Hesselman

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02643108 (Randomized Controlled Clinical Trial of Lateral Episiotomy Versus no Episiotomy in Vacuum Assisted Delivery in Non-parous Women), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02643108 naactive not recruitingnot on this map

Randomized Controlled Clinical Trial of Lateral Episiotomy Versus no Episiotomy in Vacuum Assisted Delivery in Non-parous Women

TypeinterventionalSponsorKarolinska InstitutetRan2017 to 2028Enrolled717ConditionsPelvic Floor Disorders, Fecal Incontinence, Dystocia, Fetal HypoxiaArmsLateral episiotomy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
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

6 authors at 5 institutions in 1 country.

Jenny EricsonSchool of Education, Health and Social Studies, Dalarna University, Falun, Sweden. jenny.ericson@regiondalarna.se.ORCID http://orcid.org/0000-0002-3460-7500
Cecilia AnagriusDepartment of Gynecology and Obstetrics, Falu Hospital, Falun, Sweden.
Agnes RygaardDepartment of Gynecology and Obstetrics, Falu Hospital, Falun, Sweden.
Lisa GuntramDepartment of Thematic Studies - Technology and Social Change, Linköping University, Linköping, Sweden.
Sophia Brismar WendelDepartment of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden.
Susanne HesselmanCenter for Clinical Research Dalarna, Uppsala University, Falun, Sweden.
Falun Hospital · SEDalarna University · SEKarolinska Institutet · SELinköping University · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformation about and invitation to participate in a clinical trial involving an intervention during childbirth may cause fear or worry in pregnant women. The aim of this study was to describe nulliparous women's experiences of receiving an invitation to participate in a randomized controlled trial (RCT) of lateral episiotomy versus no episiotomy in vacuum-assisted delivery (EVA trial).

methodsThis qualitative study was nested in the ongoing EVA trial. Data were collected through semistructured telephone interviews with 23 women regarding their experiences of the information and invitation to participate in the EVA trial. Interviews were audio-recorded and transcribed verbatim. A qualitative content analysis was used to analyse the interview contents.

resultsThree main experience categories were identified among the participants. "Timing of trial information and understanding" revealed that women preferred to obtain information about the trial early on during pregnancy. "Reasons to consent to or decline participation in the trial" encompassed a variety of reasons for women to consent, such as goodwill for science or personal benefits, or to decline, such as not wanting to be randomized or fear of increased risk of having a vacuum-assisted delivery. "Thoughts evoked regarding childbirth" were diverse, ranging from not being affected at all to having increased anxiety.

conclusionsThe women's experience of receiving an invitation to participate in an RCT of episiotomy in vacuum-assisted delivery varied widely, from immediately giving consent without further worries to increased anxiety or declining participation. Early and personal information with time for reflection was considered most satisfactory.

trial registrationClinicalTrials.gov NCT02643108 . Registered on December 28, 2015. The Lateral Episiotomy or Not in Vacuum Assisted Delivery in Non-parous Women (EVA) trial was registered at www.clinicaltrials.gov .

Indexed as

EpisiotomyVacuum Extraction, ObstetricalFearFemaleHumansParturitionPregnancyQualitative ResearchEpisiotomyExperiencesInformed consentRandomized controlled trialVacuum-assisted delivery

Identifiers

PMID34565424
PMCPMC8474868
OpenAlexW3201743127

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.