The postnatal effects of perineal trauma on maternal psychological and emotional wellbeing: A longitudinal study

Molyneux, Rebecca, Fowler, Gillian and Slade, Pauline (2024) The postnatal effects of perineal trauma on maternal psychological and emotional wellbeing: A longitudinal study. European Journal of Obstetrics & Gynecology and Reproductive Biology, 294. pp. 238-244.

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Abstract

<h4>Objective</h4>To examine the postnatal psychological health and parenting adjustment of primiparous women experiencing perineal trauma.<h4>Study design</h4>Longitudinal cohort study assessing body image, perceptions of traumatic birth, psychological distress, perineal pain, impact upon parental tasks and mother-infant bonding at 6-12 weeks (n = 103) and 6-10 months postnatally (n = 91). Primiparous women were recruited following vaginal birth and perineal suturing in a UK-based maternity hospital. al. Comparisons made according to the objective classification of perineal trauma experienced; 1st/2nd degree tear, episiotomy, and Obstetric Anal Sphincter Injuries (OASI).<h4>Results</h4>At 6-12 weeks women with an episiotomy reported a more negative perception of their body image than those with OASI. Women with OASI or an episiotomy were more likely to have experienced birth as traumatic, and those with OASI reported more avoidance symptoms of post-traumatic stress and a greater negative impact on parenting tasks. At 6-10 months significantly more avoidance symptoms continued to be reported by those with OASI, whereas those with an episiotomy reported more anxiety related symptoms in general than those with OASI.<h4>Conclusions</h4>OASI, whilst associated with traumatic birth and some early parenting impacts, may not be linked to general negative psychological outcomes when specialist routine follow-up care is provided. Psychological impacts for women with episiotomy may merit further input than currently provided. Consideration should be given with regards to widening the access to postnatal perineal care by extending the criteria for specialist follow up beyond those sustaining OASI.

Item Type:	Article
Uncontrolled Keywords:	Perineum, Vagina, Humans, Birth Injuries, Lacerations, Delivery, Obstetric, Episiotomy, Risk Factors, Longitudinal Studies, Mothers, Pregnancy, Anal Canal, Female, Obstetric Labor Complications
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health
Depositing User:	Symplectic Admin
Date Deposited:	30 Jan 2024 08:07
Last Modified:	02 Mar 2024 02:48
DOI:	10.1016/j.ejogrb.2024.01.035
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3178061