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International Urogynecology Journal
Published in: International Urogynecology Journal 3/2017

01-03-2017 | Original Article

Evaluation of training programme uptake in an attempt to reduce obstetric anal sphincter injuries: the SUPPORT programme

Authors: Nadia Rahman, Latha Vinayakarao, Sangeeta Pathak, Dawn Minden, Louise Melson, Ella Vitue, A Pradhan

Published in: International Urogynecology Journal | Issue 3/2017

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Abstract

Introduction and hypothesis

The objective was to assess the feedback from a quality improvement training programme to reduce obstetric anal sphincter injuries (OASIS).

Methods

Training sessions were organised that included evidence-based information on OASIS risk factors and training on models to measure perineal body length (PBL), perform episiotomies with standard and 60° fixed angle scissors (EPISCISSORS-60®), and measure post-delivery episiotomy suture angles with protractor transparencies. Feedback forms using a Likert scale (1–4) were completed and analysed. The setting was an evidence-based quality improvement programme (Strategy for Using Practical aids for Prevention of OASIS, Recording episiotomies and clinician Training [SUPPORT]) at two National Health Service (NHS) Hospitals in the UK. The participants were midwives and doctors attending the SUPPORT training programme

Results

All of the participants (100 %) would recommend the training programme to a friend or colleague. 92 % felt that the training session improved their knowledge of the impact of PBL and perineal distension and their knowledge of the relationship between episiotomy angle and OASIS “a lot” or “somewhat”.

Conclusion

Based on this feedback, we recommend the addition of the knowledge content of the SUPPORT programme to other centres providing perineal assessment and repair courses.
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Metadata
Title
Evaluation of training programme uptake in an attempt to reduce obstetric anal sphincter injuries: the SUPPORT programme
Authors
Nadia Rahman
Latha Vinayakarao
Sangeeta Pathak
Dawn Minden
Louise Melson
Ella Vitue
A Pradhan
Publication date
01-03-2017
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 3/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-3158-6

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