Study of Care Pathways and Follow-up for Women With Obstetric Anal Sphincter Injury and Related Incontinence Within Five Years After Vaginal Delivery

What this Trial Is About

This research aims to understand the care pathways currently available for women who develop incontinence related to obstetric anal sphincter injuries OASI after vaginal delivery. OASI includes severe perineal tears that affect the muscles controlling bowel function and can lead to distressing symptoms like fecal and urinary incontinence. Because many affected women may not openly share their symptoms, it is important to identify if adequate follow-up and care are provided to support them and prevent long-term complications. The study focuses on women who have sustained grade 3 or 4 perineal tears during childbirth and are experiencing symptoms of anal or fecal incontinence within five years of delivery. Additionally, the study involves obstetricians and urogynaecologists who care for these patients in the UK. Participants will be asked about their experiences and perceptions of the care they have received, and healthcare providers will share their views on the care pathways and multidisciplinary team involvement. Participants will provide feedback on the quality of follow-up care over a 12-month period using interviews and surveys. The study collects detailed accounts of symptoms and quality of life impacts from women, while also assessing healthcare providers perspectives on care provision. This information will help understand gaps and improvements needed in managing OASI-associated incontinence and ensuring supportive care is accessible and effective.

CArE for OAsI Study: Care Pathways and Anorectal Evaluation for OASI Associated Incontinence