Reviewer ’s report  
 
Title: Online reported women's experiences of symptomatic pelvic organ prolapse after vaginal 
birth  
 
Version: 0 Date: 19 Aug 2019  
 
Reviewer: Olukunle Ajayi  
 
Reviewer's report:  
 
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Reviewer's comments  
Congratulations to the authors.  
This is a very good study of women's views o f a common gynaecological condition.  
The following are comments that would require minor corrections.  
1. Line 117: The comment of participant 22 'should I wear a nappy' suggests that the 
participant had either urinary incontinence or feacal incontinence an d not pelvic organ prolapse. 
The study focussed mainly on pelvic organ prolapse, this need to be either modified or the title 
adjusted.  
2. Discussion: The authors comprehensively reported the participants' feelings but did not 
provide a balanced view in th e discussion. For instance, whilst the participants adduced their 
'psychological distress', 'sexual difficulties', 'dysfunctional body' to sPOP, the author should 
provide other scientific explanations that could also contribute to these. For instance, the 
demands of childcare, psychological trauma accompanying childbirth could also contribute to 
lack of sexual desire and performance.  
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Yes 
 
Are the conclusions drawn adequately supported by  the data shown?  
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Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an 
additional statistical review?  
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assessment in your comments to the editors.  
 
Not relevant to this manuscript  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Acceptable  
 
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