What is known from the existing literature about self-management of pessaries for pelvic organ prolapse? A scoping review
Objectives Pelvic organ prolapse can be managed with a pessary. However, regular follow-up may deter women due to the inconvenience of frequent appointments, as well as preventing autonomous decision making. Pessary self-management may be a solution to these issues. However, there remains a number o...
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| Format: | Article |
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e060223.full |
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| author | Dawn Dowding Lucy Dwyer R Kearney |
| author_facet | Dawn Dowding Lucy Dwyer R Kearney |
| author_sort | Dawn Dowding |
| collection | DOAJ |
| description | Objectives Pelvic organ prolapse can be managed with a pessary. However, regular follow-up may deter women due to the inconvenience of frequent appointments, as well as preventing autonomous decision making. Pessary self-management may be a solution to these issues. However, there remains a number of uncertainties regarding pessary self-management. This scoping review aims to map available evidence about pessary self-management to identify knowledge gaps providing the basis for future research.Design Scoping review as detailed in the review protocol.Data sources A search of MEDLINE, CINAHL, EMBASE and PsycINFO databases and a handsearch were undertaken during May 2021 to identify relevant articles using the search terms ‘pessary’ and ‘self-management’ or ‘self-care’.Data extraction and synthesis Data relevant to pessary self-management was extracted and the Mixed Methods Appraisal Tool used to assess empirical rigour. Thematic analysis was performed to evaluate the results.Results The database search identified 82 publications. After duplicates and articles not meeting the inclusion and exclusion criteria were removed, there were 23 eligible articles. A hand search revealed a further 19 articles, resulting in a total of 42 publications.Findings relevant to pessary self-management were extracted and analysed for the emergence of themes. Recurrent themes in the literature were; the characteristics of self-managing women; pessary care; factors associated with decision making about self-management; teaching self-management and cost benefit.Conclusions Pessary self-management may offer benefits to some women without increased risk. Some women do not feel willing or able to self-manage their pessary. However, increased support may help women overcome this. Further in-depth exploration of factors which affect women’s willingness to self-manage their pessary is indicated to ensure better understanding and support as available for other conditions. |
| format | Article |
| id | doaj-art-b410081e4a0847ca947d6ac35e856f5f |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-b410081e4a0847ca947d6ac35e856f5f2025-01-31T15:00:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-060223What is known from the existing literature about self-management of pessaries for pelvic organ prolapse? A scoping reviewDawn Dowding0Lucy Dwyer1R Kearney2Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UKSaint Mary`s Hospital, Manchester Academic Health Science Centre, Manchester, UKThe Warrell Unit, Saint Mary’s Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UKObjectives Pelvic organ prolapse can be managed with a pessary. However, regular follow-up may deter women due to the inconvenience of frequent appointments, as well as preventing autonomous decision making. Pessary self-management may be a solution to these issues. However, there remains a number of uncertainties regarding pessary self-management. This scoping review aims to map available evidence about pessary self-management to identify knowledge gaps providing the basis for future research.Design Scoping review as detailed in the review protocol.Data sources A search of MEDLINE, CINAHL, EMBASE and PsycINFO databases and a handsearch were undertaken during May 2021 to identify relevant articles using the search terms ‘pessary’ and ‘self-management’ or ‘self-care’.Data extraction and synthesis Data relevant to pessary self-management was extracted and the Mixed Methods Appraisal Tool used to assess empirical rigour. Thematic analysis was performed to evaluate the results.Results The database search identified 82 publications. After duplicates and articles not meeting the inclusion and exclusion criteria were removed, there were 23 eligible articles. A hand search revealed a further 19 articles, resulting in a total of 42 publications.Findings relevant to pessary self-management were extracted and analysed for the emergence of themes. Recurrent themes in the literature were; the characteristics of self-managing women; pessary care; factors associated with decision making about self-management; teaching self-management and cost benefit.Conclusions Pessary self-management may offer benefits to some women without increased risk. Some women do not feel willing or able to self-manage their pessary. However, increased support may help women overcome this. Further in-depth exploration of factors which affect women’s willingness to self-manage their pessary is indicated to ensure better understanding and support as available for other conditions.https://bmjopen.bmj.com/content/12/7/e060223.full |
| spellingShingle | Dawn Dowding Lucy Dwyer R Kearney What is known from the existing literature about self-management of pessaries for pelvic organ prolapse? A scoping review BMJ Open |
| title | What is known from the existing literature about self-management of pessaries for pelvic organ prolapse? A scoping review |
| title_full | What is known from the existing literature about self-management of pessaries for pelvic organ prolapse? A scoping review |
| title_fullStr | What is known from the existing literature about self-management of pessaries for pelvic organ prolapse? A scoping review |
| title_full_unstemmed | What is known from the existing literature about self-management of pessaries for pelvic organ prolapse? A scoping review |
| title_short | What is known from the existing literature about self-management of pessaries for pelvic organ prolapse? A scoping review |
| title_sort | what is known from the existing literature about self management of pessaries for pelvic organ prolapse a scoping review |
| url | https://bmjopen.bmj.com/content/12/7/e060223.full |
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