ArticleBMC women's health2025
Women's experiences of life and healthcare after levator ani avulsion: a qualitative interview study.
Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLevator ani muscle (LAM) avulsion affects approximately 10-20% of women following vaginal delivery and results in permanent damage to the pelvic floor. This condition is a significant risk factor for pelvic floor dysfunction, including pelvic organ prolapse (POP). Despite its high prevalence, we lack knowledge and clinical guidelines regarding the prevention, diagnosis, management, and treatment of LAM. Women's views of living with this injury need to be acknowledged and explored.
aimTo explore women's experiences of living with a LAM avulsion and their experiences of associated contact with healthcare.
methodsA qualitative interview study in which the data were analysed using qualitative content analysis according to Graneheim and Lundman. Fifteen women aged 33-55 years with diagnosed LAM avulsion participated. Videoconference interviews were conducted using a semi-structured interview guide with open-ended questions.
resultsThree themes emerged: "Struggling to navigate healthcare", "Restricting everyday life", and "Seeing the future as uncertain, yet hopeful". These themes highlight women's frustration and challenges in navigating the healthcare system, their perception of a limited everyday life that must be adapted to what the body can handle, uncertainty about the future, and hope of good health and better care.
conclusionsLAM avulsion can substantially impact women's quality of life. It is a hidden birth injury that needs attention. The results indicate many areas for improvement in healthcare, such as the value of confirmatory diagnosis and care that addresses the woman's overall situation.
Indexed as
Identifiers
What OpenQuestion holds
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.