On climatic conditions at Nome, Alaska, during the Pliocene and on a new species of Pecten from the Nome gold-bearing gravels

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ID: 304004
1907
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Abstract

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.
Reference Key
openalex_W2320259529 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors W. H. Dall
Journal american journal of science
Year 1907
DOI
10.2475/ajs.s4-23.138.457
URL
https://ajsonline.org/article/61512.pdf
Keywords Keywords not found

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