Red flags in episiotomy
Working with Oxford University to bring creative approaches to co-produced data analysis
The study aimed to explore the decision-making processes of experienced midwives in their assessment for episiotomy during birth.
Creative research methods were used as part of a co-produced analysis with eight midwives examining data from interviews with 43 midwives.
Creative approach
Visual narrative frameworks with multi-layered engagement opportunities were used to invite midwives to explore and share their experience and knowhow through different (often unfamiliar) lenses.
Outputs also provided an additional layer of data visualisation and communication to support further group collaboration and insight.
To add depth and texture to the visual frameworks, as representations of episiotomy procedures, we used canvas backgrounds stitched together, along with illustrations of women, tools and other assets stitched to the frames – the tactility of the analysis process embodying the tactility of the research focus.
What we did
Working in small groups, midwives were initially asked to identify their red flags within the data set – using a pack of visual assets (speech bubbles, flags, stars etc) and by either drawing their own images to support their analysis, or working with Carmen to create additional sketches.
Outputs acted as triggers for whole group discussion, with several key themes collectively identified and added to the stitched large scale group work.
Next the midwives reflected, discussed and charted their thoughts around consent, drawing both upon their personal experiences and the data set. Here, the ‘consent incubator’ narrative framework represented the incubation of ideas, the care associated with consent, as well as wider ethical considerations linked with episiotomy – whilst also providing a visual association with nurturing newborns.
Read the study
Findings are now published in Women and Birth :
Red flags for episiotomy in a midwife-led birth: Using co-production with midwives to capture clinical experience
Perineal care bundle
A large scale illustration of considerations for perineal care – featuring extracts from interview transcripts with midwives.
The illustration places wellbeing at the centre; feeding considerations through umbilical cords.
