Anal Incontinence (AI) is the inability to reach the toilet in time or control flatus. One in five women develop AI in the first five years after having a vaginal birth. The timing of onset varies; some women having AI early after childbirth, whilst many develop symptoms during the menopause. AI has a significant negative impact on a woman’s quality of life with undesirable effects on her psychosocial and emotional wellbeing. The main barrier for women accessing treatment is a lack of education on AI both for women and health care professionals.

Background to the Study

The GRACE Study was a collaboration between researchers at the University of Warwick, and the MASIC Foundation. Between October 2021 and May 2022, we carried out in-depth interviews with 41 women, from diverse backgrounds, experiencing anal incontinence caused by a childbirth injury. During the interviews women discussed their experiences of anal incontinence, its impact of their lives and healthcare experiences.

Funded by:

NIHR Research for Patient Benefit

Research team members:

Dr Sarah Hillman: Co-lead, Clinical Lecturer & GP, University of Warwick Prof Debra Bick: Co-lead, Professor, University of Warwick Dr Jo Parsons: Research Fellow, University of Warwick Dr Abi Eccles: Assistant Professor, University of Warwick Prof Kate Seers: Professor, University of Warwick Julie Cornish: Consultant Colorectal Surgeon, MASIC Foundation Anna Clements: MASIC & Public Representative Sarah Embleton: Public Representative Dr Abigail McNiven: Senior Qualitative Researcher, University of Oxford Chloe Oliver: CEO at MASIC Prof Michael Keighley: President of MASIC Jen Hall: Social Media and Website Co-ordinator MASIC Mrs Helen McGowan WMS

Enquiries:

Dr Sarah Hillman

s dot hillman at warwick dot ac dot uk