ObjectiveTo study experiences of women who gave birth in maternity units that have implemented a ‘care bundle’ quality improvement initiative to reduce obstetric anal sphincter injury (OASI) and associated morbidity.DesignPostnatal electronic questionnaire.SettingTwenty‐nine maternity units across England, Scotland and Wales.PopulationWomen with live vaginal births.MethodsDescriptive statistics for quantitative results. Analysis of free‐text responses informed by framework method.Main Outcome MeasuresExperience with components of the care bundle: information provision, manual perineal protection (MPP) and post‐birth rectal examination.ResultsIn this study, 1208 women completed the survey: 684 (56.6%) said they received antenatal information about perineal health, 377 (31.2%) recalled MPP, and 664 (55.0%) recalled rectal examination. Of the 684 women who said they received antenatal information, 595 (87.0%) agreed that the information was easy to understand, and 423 (61.8%) agreed that it helped them to make their own choices to reduce their OASI risk. One hundred and fifty‐four (22.5%) agreed that the information made them fearful about giving birth vaginally. Of the 377 women who recalled MPP, 203 (53.9%) felt it provided them with support, and another 97 (25.7%) did not mind the sensation. Of the 664 women who recalled rectal examination, 281 (42.3%) did not mind the exam, and another 335 (50.5%) felt it was uncomfortable but understood its importance. Free‐text responses aligned with quantitative results.ConclusionsMany women did not recall MPP or rectal examination. The reported experiences for those who recalled these components do not support concerns that the OASI care bundle has negative effects on women's experiences.

中文翻译：

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旨在降低产科肛门括约肌损伤风险的护理包：女性经历调查


目的研究在产科病房分娩的妇女的经验，这些产科病房实施了“护理包”质量改进计划，以减少产科肛门括约肌损伤 （OASI） 和相关发病率。Design产后电子问卷。地点英格兰、苏格兰和威尔士的 29 个产科病房。方法定量结果的描述性统计。由框架方法提供的自由文本响应分析。主要结局指标 集束护理组成部分的经验： 信息提供、手部会阴保护 （MPP） 和产后直肠检查。结果在本研究中，1208 名女性完成了调查： 684 名 （56.6%） 表示她们收到了有关会阴健康的产前信息，377 名 （31.2%） 回忆起 MPP，664 名 （55.0%） 回忆起直肠检查。在表示收到产前信息的 684 名妇女中，595 名 （87.0%） 同意该信息易于理解，423 名 （61.8%） 同意这有助于她们做出自己的选择以降低 OASI 风险。154 人 （22.5%） 同意这些信息使他们对阴道分娩感到恐惧。在回忆起 MPP 的 377 名女性中，203 名 （53.9%） 认为它为她们提供了支持，另有 97 名 （25.7%） 不介意这种感觉。在 664 名回忆直肠检查的女性中，281 名 （42.3%） 不介意检查，另有 335 名 （50.5%） 感到不舒服但了解其重要性。自由文本响应与定量结果一致。结论许多女性不记得 MPP 或直肠检查。那些回忆起这些组成部分的人报告的经历并不支持 OASI 护理包对女性体验产生负面影响的担忧。