The author declares that they have no competing interests.
HP participated in research design, data collection and analysis, design, drafting and completion of manuscript as a component of a doctoral study.
There is a lack of research reporting on the physical and emotional experiences of women who sustain severe perineal trauma (third and fourth degree tears). When the researcher identifies with the group being researched, autoethnography can allow an insight into the experiences of the marginalised group through the telling of a personal story. The aim of this paper is to share the journey travelled by an autoethnographer who on examining the issue of severe perineal trauma came to understand the challenges and rewards she experienced through this reflective and analytic process.
A transformative emancipatory approach guided the design, data collection and analysis of findings from this study. For this paper, a multivocal narrative approach was taken in presenting the findings, which incorporated the words of both the autoethnographer and the twelve women who were interviewed as a component of the study, all of whom had sustained severe perineal trauma.
As an autoethnographer, being a member of the group being researched, can be confronting as the necessary reflection upon one’s personal journey may lead to feelings of vulnerability, sadness, and emotional pain. The transformation from disembodied to embodied self, resulted in a physical and emotional breakdown that occurred for this autoethnographer.
Autoethnographers may experience unexpected emotional and physical challenges as they reflect upon their experiences and research the experiences of others. When incorporating a transformative emancipatory framework, the hardships are somewhat balanced by the rewards of witnessing ‘self-transformation’ as a result of the research.
RCOG. The Management of Third- and Fourth-Degree Perineal Tears. Green-Top Guideline. 2007;29:11.
Buppasiri P, Lumbiganon P, Thinkhamrop J, Thinkhamrop B. Antibiotic prophylaxis for third- and fourth-degree perineal tear during vaginal birth. Cochrane Database of Systematic Reviews. 2010 :Art. No.: CD005125. doi: 10.1002/14651858.CD005125.pub3.
Fernando RJ, Sultan AHH, Kettle C, Thakar R, Radley S. Methods of repair for obstetric anal sphincter injury. Cochrane Database of Systematic Reviews 2006, Issue 3 Art No: CD002866 DOI: 101002/14651858CD002866pub2 . 2010.
Rathfisch G, Dikencik BK, Beji NK, Comert N, Tekirdag AI, Kadioglu A. Effects of perineal trauma on postpartum sexual function. J Adv Nurs. 2010;66:2640–010.
Priddis H, Dahlen H, Schmied V. Women’s experiences following severe perineal trauma: a meta-ethnographic synthesis. J Adv Nurs. 2013;69:48–759. CrossRef
Kettle C. The management of perineal trauma. In: Henderson C, Bick D, editors. Perineal Care: An international issue. Wiltshire: Quay Books; 2005.
Henderson C, Bick D, editors. Perineal Care: An international issue. Wiltshire: Quay Books; 2005.
Priddis H, Dahlen H, Schmied V, Sneddon A, Kettle C, Brown C, et al. Risk of recurrence, subsequent mode of birth and morbidity for women who experienced severe perineal trauma in a first birth in New South Wales between 2000–2008: A population based data linkage study. BMC Pregnancy Childbirth. 2013;13:1–7. CrossRef
Priddis H, Schmied V, Dahlen H. Women's experiences following severe perineal trauma: a qualitative study. BMC Womens Health. 2014;14:1–11. CrossRef
Priddis HS, Schmied V, Kettle C, Sneddon A, Dahlen H. “A patchwork of services” – caring for women who sustain severe perineal trauma in New South Wales – from the perspective of women and midwives. BMC Pregnancy Childbirth. 2014;14:1–14. CrossRef
Creswell JW. Qualitative Inquiry & Research Design: Choosing Among Five Approaches. 2nd ed. California: Sage; 2007.
Mertens DM. Transformative Research and Evaluation. New York: The Guilford Press; 2009.
Ackerly B, True J. Doing Feminist Research in Political and Social Science. New York: Palgrave Macmillan; 2010.
Sweetman D, Badiee M, Creswell JW. Use of the Transformative Framework in Mixed Methods Studies. Qual Inq. 2010;16:441–54. CrossRef
Creswell J, Plano Clark V. Designing and conducting mixed methods research. 2nd ed. Thousand Oaks: Sage; 2011.
Anderson L. Analytic Autoethnography. J Contemp Ethnogr. 2006;35:373–95. CrossRef
Ellis C, Bochner A. Analyzing analytic autoethnography: An autopsy. J Contemp Ethnogr. 2006;35:429–49. CrossRef
Ellis C. Carrying the torch for autoethnography. In: Holman Jones S, Adams T, Ellis C, editors. Handbook of Autoethnography. California: Left Coast Press; 2013. p. 9–12.
Tomaselli K, Dyll-Myklebust L, van Grootheest S. Personal/political interventions via autoethnography. In: Holman Jones S, Adams T, Ellis C, editors. Handbook of autoethnography. Walnut Creek, California: Left Coast Press; 2013. p. 576–94.
Muncey T. Creating autoethnographies. London: Sage Publications; 2010. CrossRef
Hammersley M, Atkinson P. Ethnography: principles in practice. New York: Routledge; 2007.
Jones SH, Adams T, Ellis C. Coming to know autoethnography as more than a method. In: Jones SH, Adams TE, Ellis C, editors. Handbook of Autoethnography. California: Left Coast Press; 2013. p. 17–47.
Ellis C. Heartful autoethnography. Qual Health Res. 1999;9:669–83. CrossRef
Chang H. Autoethnography as method. Walnut Creek, CA: Left Coast Press; 2008.
Denzin N. Interpretive Ethnography: Ethnographic Practices for the 21st Century. California: Sage Publications; 1997. CrossRef
Danaher G, Schirator T, Webb J. Understanding Foucault. Allen Unwin: Australia; 2000.
Vryan K. Expanding Analytic Autoethnography and enhancing its potential. J Contemp Ethnogr. 2006;35:405–9. CrossRef
Tedlock B. Introduction: Braiding Evocative with Analytic Autoethnography. In: Holman Jones S, Adams TE, Ellis C, editors. Handbook of Autoethnography. California: Left Coast Press; 2013. p. 358–62.
Giorgio G. Reflections on writing through memory in autoethnography. In: Holman Jones S, Adams T, Ellis C, editors. Handbook of autoethnography. Walnut Creek, California: Left Coast Press; 2013. p. 406–24.
Condell SL. Writing fieldnotes in an ethnographic study of peers: Collaborative experiences from the field. J Res Nurs. 2008;13:325–35. CrossRef
Spry T. Performing Autoethnography: An Embodied Methodological Praxis. Qual Inq. 2001;7:706–32. CrossRef
Schwalbe M. The mirrors in men's faces. J Contemp Ethnogr. 1996;25:58–82. CrossRef
Bochner A. Putting meanings into motion: Autoethnography's existential calling. In: Holman Jones S, Adams TE, Ellis C, editors. Handbook of Autoethnography. California: Left Coast Press; 2013. p. 50–6.
Pearce C. The Crises and Freedoms of Researching Your Own Life. Journal of Research Practice. 2010;6:1–15.
Defrancisco VP, Kuderer J, Chatham-Carpenter A. I. Autoethnography and Women's Self-Esteem: Learning through a 'living' method. Feminism and Psychology. 2007;17:237–43. CrossRef
Braidotti R. Mothers, Monsters, and Machines. In: Conboy K, Medina N, Stanbury S, editors. Writing on the body: Female embodiment and feminist theory. New York: Columbia University Press; 1997.
Herron-Marx S, Williams A, Hicks C. A Q Methodology study of women's experiences of enduring postnatal perineal and pelvic floor morbidity. Midwifery. 2007;23:332–4. CrossRef
Allen KR, Piercy FP. Feminist Autoethnography. In: Sprenkle DH, Piercy FP, editors. Research Methods in Family Therapy. 2nd ed. New York: Guilford Press; 2005. p. 155–69.
Olson LN. The role of voice in the (re)construction of a battered woman's identity: An autoethnography of one woman's experience of abuse. Women's Studies in Communication. 2004;27:1–33. CrossRef
Denzin N. Interpretive Autoethnography. 2nd ed. Thousand Oaks, California: Sage Publications; 2014.
Mertens DM. Mixed methods and the politics of human research: The transformative-emancipatory perspective. In: Tashakkori A, Teddlie C, editors. Handbook of Mixed Methods in Social and Behavioral research. California: Sage Publications; 2003. p. 135–64.
- Autoethnography and severe perineal trauma—an unexpected journey from disembodiment to embodiment
Holly S. Priddis
- BioMed Central
Neu im Fachgebiet Gynäkologie und Geburtshilfe
Meistgelesene Bücher aus dem Fachgebiet
e.Med Kampagnen-Visual, Mail Icon II