BackgroundTo evaluate the training effect among variant practitioners, accompany with their knowledge and accuracy of cutting a mediolateral episiotomy (MLE) before and after the training.Methods 82 participants were recruited at three different obstetric centers, included 35 obstetricians and 47 midwives. A 30 minutes training course were given to all participants by one senior obstetrician. Special paper pads simulating perineum at crowning were used to cut a MLE before and after the course, and a questionnaire about their occupation characteristics was given before the course. Parameters of the MLE were analyzed and compared between some subgroups before and after the course.Results After the course, the mean values of three parameters were significantly increased from 3.146 cm in length, 48 degrees in angle and 0.909 cm in distance to 3.429cm, 50.622degrees and 1.082cm respectively. And doctors had increased angle degrees significantly (P=0.022), while midwives had increased the length and distance significantly (p=0.001and p=0.004). Only senior participants had increased the length and distance of incisions significantly (P=0.010, P=0.020), the accuracy of these two parameters also improved significantly (P=0.020, P=0.031). In subgroups of midwives and seniors, the accuracy of the length and distance also showed significantly increased after the course.Conclusions Training course can improve the knowledge of MLE. The angle, length and distance of incisions all increased and the accuracy of the length and distance significantly improved after course, and the senior participants profited more from the training course.
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