title: Finding Meaning in Life Following Emergency Postpartum Hysterectomy: What Doesn't Kill Us Makes Us Stronger.
abstract: BACKGROUND
  Childbirth is generally perceived to be a triumphant and joyous moment in a woman's life. However, current research indicates that it can also be a time of fear, dread, and apprehension, particularly when the birth experience is traumatic. Some women attempt to seek the positives of their traumatic or unexpected childbirth experience to be able to cope with their experience. However, little attention is directed toward how women rebuild their lives and grow following traumatic birth experiences such as severe postpartum hemorrhage and emergency hysterectomy.
  
  
  METHODS
  Twenty-one Australian women, aged 24 to 57 years, who had experienced severe postpartum hemorrhage and emergency hysterectomy were interviewed in an in-depth qualitative study about their experiences.
  
  
  RESULTS
  Thematic analysis revealed the major theme of moving forward and 4 subthemes: appreciating life and what you have; what really counts: learning and growing; accepting it: it's just the way it is; and reframing the experience: seeking the positives All of the women found meaning following their hysterectomy, which produced a positive perspective on their lives.
  
  
  CONCLUSIONS
  The way that women find meaning and cope with the trauma of having a severe postpartum hemorrhage and emergency hysterectomy is significant to their ability to move forward and live life to the fullest. Midwives and other health care providers may be in a position to provide support for women in the aftermath of severe postpartum hemorrhage and emergency hysterectomy.
authors.forename: Rakime
authors.initials: R
authors.lastname: Elmir
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001315:Australia; D036861:Delivery, Obstetric / Q000009:adverse effects; D004630:Emergencies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000523:psychology*; D008016:Life Change Events; D008875:Middle Aged; D008880:Midwifery; D036801:Parturition; D006473:Postpartum Hemorrhage / Q000601:surgery*; D049590:Postpartum Period; D000067073:Psychological Trauma / Q000209:etiology; D036301:Qualitative Research; D055815:Young Adult
keywords: childbirth; hysterectomy; obstetric emergency qualitative research; perinatal loss; postpartum hemorrhage; trauma