Evidence map›Paper›PMID 27783118›Full record

ArticleInternational urogynecology journal2017

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

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

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Article in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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4citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nadia RahmanAddenbrooke's Hospital, Cambridge, UK. nadia.rahman@addenbrookes.nhs.uk.ORCID http://orcid.org/0000-0003-3107-5323
Latha VinayakaraoPoole Hospital NHS Trust, Poole, UK.
Sangeeta PathakHinchingbrooke Hospital, Huntingdon, UK.
Dawn MindenPoole Hospital NHS Trust, Poole, UK.
Louise MelsonPoole Hospital NHS Trust, Poole, UK.
Ella VitueHinchingbrooke Hospital, Huntingdon, UK.
A PradhanAddenbrooke's Hospital, Cambridge, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

methodsTraining 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

resultsAll 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".

conclusionBased on this feedback, we recommend the addition of the knowledge content of the SUPPORT programme to other centres providing perineal assessment and repair courses.

Indexed as

Program EvaluationQuality ImprovementAnal CanalDelivery, ObstetricEnglandEpisiotomyEvidence-Based MedicineFemaleHumansInservice TrainingLacerationsMidwiferyObstetric Labor ComplicationsObstetricsPregnancyRisk FactorsManual perineal protectionObstetric anal sphincter injuriesPerineal body lengthPreventing episiotomiesQuality improvement

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.