ArticleInternational urogynecology journal2020
Prevention and Management of Severe Obstetric Anal Sphincter Injuries (OASIs): a National Survey of Nurse- Midwives.
Article in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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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Who cites it
8 citing papers in PubMed, 19 citations in OpenAlex.
- Family medicine physician identification of obstetric lacerations: a US national survey.International urogynecology journal · 2024Article
- Diagnosis, management and training in perineal trauma: a UK national survey of obstetricians.International urogynecology journal · 2023Article
- Obstetric anal sphincter injuries and other delivery trauma: a US national survey of obstetrician-gynecologists.International urogynecology journal · 2022Article
- Effect Analysis of Midwife Education and Training with PDCA Model.Computational intelligence and neuroscience · 2022Article
- Identification of obstetric anal sphincter injuries (OASIs) and other lacerations: a national survey of nurse-midwives.International urogynecology journal · 2021Article
- Accuracy of obstetric laceration diagnoses in the electronic medical record.International urogynecology journal · 2021Article
- FIGO good clinical practice paper: management of the second stage of labor.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021Article
- A review and comparison of common maternal positions during the second-stage of labor.International journal of nursing sciences · 2019Review
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
introduction and hypothesisThere are no data on midwives' knowledge and management of obstetric anal sphincter injuries (OASIs) in the USA. We performed a cross-sectional national survey characterizing OASI practice by certified nurse midwives (CNMs), hypothesizing that few midwives personally repair OASIs and that there are gaps in CNM OASI training/education.
methodsWe emailed a REDCap internet-based survey to 6909 American College of Nurse Midwives members (ACNM). We analyzed responses from active clinicians performing at least one delivery per month, asking about OASI risks, prevention, repair, and management. We summarized descriptive data then evaluated OASI knowledge by patient and provider characteristics.
resultsWe received 1070 (15.5%) completed surveys, and 832 (77.8%) met the inclusion/exclusion criteria. Participants were similar to ACNM membership. Respondents most frequently identified prior OASI (87%) and nutrition (71%) as antepartum OASI risk factors and, less frequently, nulliparity (36%) and race (22%). Identified intrapartum risks included forceps delivery (94%) and midline episiotomy (88%). When obstetric laceration is suspected, 13.6% of respondents perform a rectal examination routinely. Only 15% of participants personally perform OASI repair. Overall, participants matched 64% of evidence-based answers. OASI education/training courses were attended by 30% of respondents, and 44% knew of OASI protocols within their group/institution. Of all factors evaluated, the percent of evidence-based responses was only different for respondent education/CME and protocols.
conclusionsQuality initiatives regarding OASI prevention and management may improve care. Our data suggest OASI training for midwives may improve delivery care in the US. Further studies of other obstetric providers are needed.
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Registered trials
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