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Research article
Rostam Jalali
Kermanshah University of Medical Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0003-1781-9939
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Obstetric fistulas are one of the most tragic injuries that occur after difficult, prolonged childbirth without timely intervention. These fistulas cause discomfort to patients and result in emotional, social, and even physical suffering. The present study aimed to explore the experiences of women with rectovaginal fistula in Kamyaran city, in Kurdestan province, west of Iran.
Methods: In a phenomenological study, 16 patients, healthcare personnel and patients' families were investigated. Purposive sampling was performed and Study participants were interviewed in-depth semi-structured interviews. All interviews were audio-recorded, transcribed verbatim (word by word) and analyzed by Colaizzi's method. To determine the validity of the study, Lincoln and Guba’s criteria, which include credibility, dependability, transferability, and confirmability, was considered.
Results: Five general themes and ten sub-themes emerged after investigating interviews. Themes include religious harassment the sub-theme of being defiled), fail (sub-themes of loss and negative attitudes, disrupted sex (the sub-theme of sexual dissatisfaction), consequence (three sub-themes of sleep disturbance, mental crisis, and isolation), and ultimately panic (three sub-themes of humiliation, secrecy, and fear).
Conclusion: The rectovaginal fistula is a complex and multifaceted problem with social, individual, familial, religious, and ethnic-environmental dimensions, so there is no simple solution to interact with this problem and there is a need to find a solution, considering the dimensions of the problem and plan for help these patients cope with their disease, and take steps to fully treat it.
Keywords
rectovaginal fistula; Phenomenology; qualitative study; lived experience
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CURRENT STATUS: Published
View the published article at BMC Women's Health.
Version 4
Posted 17 Mar, 2020
No community comments so far
Editor assigned
On 10 Mar, 2020
Submission checks complete
On 09 Mar, 2020
Editor invited
On 09 Mar, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 05 Mar, 2020
Editor assigned
On 24 Feb, 2020
Submission checks complete
On 23 Feb, 2020
Editor invited
On 23 Feb, 2020
No comments provided
Editorial decision: Major revision
On 19 Feb, 2020
Review #3 received
Received 15 Feb, 2020
Review #2 received
Received 13 Feb, 2020
Review #1 received
Received 06 Feb, 2020
Reviewer #2 agreed
On 27 Jan, 2020
Reviewer #3 agreed
On 27 Jan, 2020
Reviewer #1 agreed
On 24 Jan, 2020
Reviewers invited
Invitations sent on 22 Jan, 2020
Editor assigned
On 21 Jan, 2020
Submission checks complete
On 20 Jan, 2020
Editor invited
On 20 Jan, 2020
No comments provided
Editorial decision: Major revision
On 12 Jan, 2020
Review #4 received
Received 05 Jan, 2020
Review #3 received
Received 05 Jan, 2020
Review #2 received
Received 25 Dec, 2019
Reviewer #4 agreed
On 21 Dec, 2019
Reviewer #3 agreed
On 22 Nov, 2019
Review #1 received
Received 01 Nov, 2019
Reviewer #2 agreed
On 26 Oct, 2019
Reviewer #1 agreed
On 22 Oct, 2019
Reviewers invited
Invitations sent on 18 Oct, 2019
Submission checks complete
On 06 Oct, 2019
Editor assigned
On 27 Sep, 2019
Editor invited
On 26 Sep, 2019
First submitted
On 25 Sep, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Obstetrics & Gynecology
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Women's Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Rostam Jalali
Kermanshah University of Medical Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0003-1781-9939
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Women's Health.
Version 4
Posted 17 Mar, 2020
No community comments so far
Editor assigned
On 10 Mar, 2020
Submission checks complete
On 09 Mar, 2020
Editor invited
On 09 Mar, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 05 Mar, 2020
Editor assigned
On 24 Feb, 2020
Submission checks complete
On 23 Feb, 2020
Editor invited
On 23 Feb, 2020
No comments provided
Editorial decision: Major revision
On 19 Feb, 2020
Review #3 received
Received 15 Feb, 2020
Review #2 received
Received 13 Feb, 2020
Review #1 received
Received 06 Feb, 2020
Reviewer #2 agreed
On 27 Jan, 2020
Reviewer #3 agreed
On 27 Jan, 2020
Reviewer #1 agreed
On 24 Jan, 2020
Reviewers invited
Invitations sent on 22 Jan, 2020
Editor assigned
On 21 Jan, 2020
Submission checks complete
On 20 Jan, 2020
Editor invited
On 20 Jan, 2020
No comments provided
Editorial decision: Major revision
On 12 Jan, 2020
Review #4 received
Received 05 Jan, 2020
Review #3 received
Received 05 Jan, 2020
Review #2 received
Received 25 Dec, 2019
Reviewer #4 agreed
On 21 Dec, 2019
Reviewer #3 agreed
On 22 Nov, 2019
Review #1 received
Received 01 Nov, 2019
Reviewer #2 agreed
On 26 Oct, 2019
Reviewer #1 agreed
On 22 Oct, 2019
Reviewers invited
Invitations sent on 18 Oct, 2019
Submission checks complete
On 06 Oct, 2019
Editor assigned
On 27 Sep, 2019
Editor invited
On 26 Sep, 2019
First submitted
On 25 Sep, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Obstetrics & Gynecology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Women's Health.
Background: Obstetric fistulas are one of the most tragic injuries that occur after difficult, prolonged childbirth without timely intervention. These fistulas cause discomfort to patients and result in emotional, social, and even physical suffering. The present study aimed to explore the experiences of women with rectovaginal fistula in Kamyaran city, in Kurdestan province, west of Iran.
Methods: In a phenomenological study, 16 patients, healthcare personnel and patients' families were investigated. Purposive sampling was performed and Study participants were interviewed in-depth semi-structured interviews. All interviews were audio-recorded, transcribed verbatim (word by word) and analyzed by Colaizzi's method. To determine the validity of the study, Lincoln and Guba’s criteria, which include credibility, dependability, transferability, and confirmability, was considered.
Results: Five general themes and ten sub-themes emerged after investigating interviews. Themes include religious harassment the sub-theme of being defiled), fail (sub-themes of loss and negative attitudes, disrupted sex (the sub-theme of sexual dissatisfaction), consequence (three sub-themes of sleep disturbance, mental crisis, and isolation), and ultimately panic (three sub-themes of humiliation, secrecy, and fear).
Conclusion: The rectovaginal fistula is a complex and multifaceted problem with social, individual, familial, religious, and ethnic-environmental dimensions, so there is no simple solution to interact with this problem and there is a need to find a solution, considering the dimensions of the problem and plan for help these patients cope with their disease, and take steps to fully treat it.
This is a list of supplementary files associated with this preprint. Click to download.
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