Women and partners' experience of major postpartum haemorrhage: a qualitative study

Objective To examine women and their partners' experience of major postpartum haemorrhage (PPH).Design A qualitative interview study.Setting Two Labour and Delivery Units in Denmark.Population Women who experienced major PPH (<= 1 litre within 2 hours after vaginal birth).Methods Semi-structured interviews were conducted with 15 women and nine partners (nine joint interviews, six individual interviews). Interviews were analysed using thematic analysis.Main outcome measures A qualitative description of women and their partners' experiences.Results Three major themes were identified. (1) 'From birth to emergency' included factors that increased concern in women and their partners, such as 'incomprehensible' medical terminology, a tense atmosphere, and alarm call. Transfer to the operating theatre was experienced as the most devastating part of major PPH. (2) 'Feeling safe during an emergency' described factors that supported the women and their partners' management of the situation such as brief explanations from a few healthcare professionals and reassurance that the healthcare professionals were in control of the situation. The pain was experienced as severe, but acceptable. (3) 'Family unity challenged' described how family bonding was supported by positioning the partner at the head of the bed and by keeping the baby on the woman's chest.Conclusions Several factors such as small gestures from healthcare professionals and appropriate organisation of the PPH can make a difference to the woman and her partner's experience of major PPH. Particularly, efforts that support family bonding are greatly valued by women and their partners.

Automated summary

This study aimed to examine the impact of major postpartum haemorrhage (PPH) on women and their partners. Through qualitative interviews, it was found that factors such as incomprehensible medical terminology, a tense atmosphere, and alarm calls increased concern in women and their partners. However, small gestures such as brief explanations from healthcare professionals and reassurance that they were in control of the situation can increase their feeling of safety. Furthermore, family bonding can be supported through measures such as positioning the partner at the head of the bed and keeping the baby on the woman's chest.