Evidence map›Paper›PMID 38359950›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2024

GP's role in supporting women with anal incontinence after childbirth injury: a qualitative study.

Abi Eccles, Joanne Parsons, Debra Bick, Michael Rb Keighley, Anna Clements, Julie Cornish, Sarah Embleton, Abigail McNiven, Kate Seers, Sarah Christine Hillman

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.8field-weighted citation impact, top 10% 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.

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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Care pathways and anorectal evaluation for obstetric anal sphincter injury-related incontinence: A UK survey of obstetricians.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Observational
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

10 authors at 3 institutions in 1 country.

Abi EcclesWarwick Applied Health, Warwick Medical School, University of Warwick, Warwick.ORCID 0000-0002-9792-8299
Joanne ParsonsWarwick Applied Health, Warwick Medical School, University of Warwick, Warwick.ORCID 0000-0002-6542-8492
Debra BickWarwick Clinical Trials Unit, University of Warwick, Warwick.ORCID 0000-0002-8557-7276
Michael Rb KeighleyNottingham.ORCID 0000-0003-0218-2066
Anna ClementsNottingham.
Julie CornishDepartment of Colorectal Surgery, Cardiff and Vale University Health Board, Cardiff.ORCID 0000-0003-4360-4472
Sarah EmbletonNottingham.
Abigail McNivenNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0001-5041-2095
Kate SeersWarwick Applied Health, Warwick Medical School, University of Warwick, Warwick.ORCID 0000-0001-7921-552X
Sarah Christine HillmanWarwick Applied Health, Warwick Medical School, University of Warwick, Warwick.ORCID 0000-0002-3560-2074
University of Warwick · GBCardiff and Vale University Health Board · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstetric anal sphincter injury is the most common cause of anal incontinence for women, which often has profound impacts on women's lives. GPs offer a first line of contact for many women, but we know that very few women experiencing anal incontinence postnatally report discussing it with their GPs.

aimTo identify key ways in which GPs can support women with anal incontinence caused by childbirth injuries. DESIGN AND

settingA qualitative study investigating women's experiences with their GP, and GPs' perspectives about providing such care.

methodThis qualitative study combined two phases: first, a series of in-depth semi-structured interviews with women experiencing anal incontinence caused by childbirth injuries (

resultsMediating factors in GP care for women with anal incontinence caused by childbirth injuries centred around three key themes: the role of the GP, access and pathways, and communication.

conclusionThe findings demonstrate multifactorial challenges in identifying the problem and supporting women experiencing anal incontinence after childbirth injury in primary care settings. Many GPs lacked confidence in their role in supporting women, and women were often reluctant to seek help. Those women who did seek help often experienced frustrations consulting with their GPs. In a context where women are often reluctant to ask for help, their concerns are not always taken seriously, and where GPs do not routinely ask about anal incontinence, potential anal incontinence after childbirth injury appears to be often missed in a primary care setting.

Indexed as

Fecal IncontinencePhysician's RoleQualitative ResearchAdultAnal CanalAttitude of Health PersonnelDelivery, ObstetricFemaleFocus GroupsGeneral PractitionersHumansObstetric Labor ComplicationsParturitionPhysician-Patient RelationsPregnancyPrimary Health Caregeneral practiceincontinenceprimary health carewomen’s health

Identifiers

PMID38359950
PMCPMC11181556
OpenAlexW4391872529

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.