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

Rahman, Nadia; Vinayakarao, Latha; Pathak, Sangeeta; Minden, Dawn; Melson, Louise; Vitue, Ella; Pradhan, Ashish

doi:10.1007/s00192-016-3158-6

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…Obstetricians cut more obtuse angle after the course, while midwives had increased length and distance signi cantly. The participants of SUPPORT (Strategy for Using Practical aids for Prevention of OASIS, Recording episiotomies and clinician Training) also reported that they had improved knowledge of performing an episiotomy during the training [25].…”

Section: Resultsmentioning

confidence: 99%

“…As the cutting parameters of MLE are instantaneous, scissors with scale plate and xed angle may be the ideal candidate. Studies used a special device as Episcissors-60 cutting at crowning showed an encouraging result for performing a MLE [25,29]. Now no consensus is reached on optimal MLE for preventing OASIS, randomized controlled trials using special device should design to carry out.…”

Section: Resultsmentioning

confidence: 99%

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Training effect on performance of mediolateral episiotomies for obstetricians and midwives

Zhao

Chen

et al. 2020

Preprint

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Background: Simulation as an extensive used method for obstetric education is usually practiced for beginners, here we offered a course with simulated practice of performing a mediolateral episiotomy (MLE) for obstetricians and midwives in different seniority, and to evaluate the training effect on their knowledge and accuracy of cutting a MLE before and after the course.Methods: 82 participants were recruited at three different obstetric centers, included 35 obstetricians and 47 midwives. More than 5 years obstetric work in their careers were deemed to senior ones, and there were 29 junior and 53 senior ones. 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 MLE before and after the course, and a questionnaire about their occupation characteristics was given before the course. Three parameters of the MLE were analyzed and compared. Results: On performing MLE, midwives had more training history and conducted cases than obstetricians (p < 0.01). After the course, the mean values of three parameters were significantly increased from 31.46 mm in length, 48 degrees in angle and 9.09 mm in distance to 34.29 mm, 50.622 degrees and 10.82 mm respectively. In subgroups, obstetricians had angle degrees increased significantly (p =0.022), while midwives had the length and distance increased significantly (p=0.001, p=0.004). Senior participants had the length and distance of incisions increased significantly (P=0.008, P=0.020), the accuracy of these two parameters also improved significantly (P=0.002, P=0.034). In subgroups of midwives and seniors, the accuracy of the length and distance also improved significantly after the course.Conclusions: Obstetricians need more professional training about midwifery including episiotomy. Simulated training of this mode is suitable for obstetric education like performing MLE. The absence of senior obstetricians and midwives should be avoided in such medical education.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Training effect on performance of mediolateral episiotomies for obstetricians and midwives

Zhao

Chen

et al. 2020

Preprint

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“…En los reportes de la literatura internacional, un 92% de los alumnos siente que las sesiones de entrenamiento en fantomas mejoran su conocimiento en la reparacion de episiotomía. (Rahman et al, 2017). Los alumnos no sólo valoran el ambiente educativo, sino también, logran los objetivos teóricos y prácticos, ellos les permiten acortar la curva de aprendizaje y aprovechar de mejor manera las situaciones clínicas reales (Calvert et al, 2013).…”

Section: Discussionunclassified

Evaluación de Modelo Docente Utilizando Fantomas de Bajo Costo para Entrenamiento en Reparación de Episiotomía.

Poblete

Catalán

Vargas

et al. 2020

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Introducción: El creciente aumento de los alumnos de pregrado, asociado a la disminución en el número de partos, han reducido la exposición de los alumnos a procedimientos como la episiotomía. En este proyecto se implementó un modelo docente utilizando fantomas de bajo costo para el entrenamiento en la reparación de episiotomía. Materiales y Métodos: La instrucción fue realizada a 106 internos de sexto año en grupos de 5 a 10 alumnos y 12 residentes de primer año de la especialidad. Se revisaron los aspectos teóricos relacionados a esta técnica quirúrgica. Cada alumno tenía a su disposión dos fantomas de alta densidad. Los materiales de sutura y el instrumental eran similares a los usados en la práctica clínica. Se realizaron 2 evaluaciones a los alumnos: un minitest teórico y una evaluación de la actividad práctica. Resultados: El resultado promedio de la evaluación teórica fue de 6,3 para los internos de 6º año y de 6,7 para los residentes de primer año de Especialidad. En los aspectos formativos de la actividad práctica, siendo la evaluación máxima 4, los alumnos calificaron la actividad con un 3,66 . En términos de satisfacción de los alumnos con la actividad, sobre una evaluación máxima de 5, los alumnos entregaron una calificación de 4,7. Finalmente, el promedio de los alumnos calificó la actividad muy cerca de lo excelente. Discusión: La implementación de fantomas de espuma de alta densidad, facilita el acceso a modelos de reparación quirúrgica más económicos y permite repetir el ejercicio hasta alcanzar los objetivos establecidos.

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“…Doctors cut more obtuse angle after the course, while midwives had increased length and distance significantly. The participants of SUPPORT (Strategy for Using Practical aids for Prevention of OASIS, Recording episiotomies and clinician Training) also reported that they had improved knowledge of performing an episiotomy during the training [25].…”

Section: Introductionmentioning

confidence: 99%

“…As the cutting parameters of MLE are instantaneous, scissors with scale plate and fixed angle may be the ideal candidate. Studies used a special device as Episcissors-60 cutting at crowning showed an encouraging result for performing a MLE [25,29]. Now no consensus is reached on optimal MLE for preventing OASIS, randomized controlled trials using special device should design to carry out.…”

Section: Introductionmentioning

confidence: 99%

Training effect on performance of mediolateral episiotomies for obstetricians and midwifes

Zhao¹,

Chen²,

F³

et al. 2020

Preprint

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

Abstract: 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.

Cited by 8 publications

References 14 publications

Training effect on performance of mediolateral episiotomies for obstetricians and midwives

Training effect on performance of mediolateral episiotomies for obstetricians and midwives

Evaluación de Modelo Docente Utilizando Fantomas de Bajo Costo para Entrenamiento en Reparación de Episiotomía.

Training effect on performance of mediolateral episiotomies for obstetricians and midwifes

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