Evidence map›Paper›PMID 33475817›Full record

ArticleInternational urogynecology journal2021

Women's experiences of the OASI Care Bundle; a package of care to reduce severe perineal trauma.

Posy Bidwell, Nick Sevdalis, Louise Silverton, James Harris, Ipek Gurol-Urganci, Alexandra Hellyer, Robert Freeman, Jan van der Meulen, Ranee Thakar

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  5. Article
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  7. Review
  8. Review
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4 · The record

Corrections and comments

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

9 authors at 7 institutions in 1 country.

Posy BidwellCentre for Quality Improvement and Clinical Audit, Royal College of Obstetricians and Gynaecologists, 10-18 Union Street, London, SE1 1SZ, UK. pbidwell@rcog.org.uk.ORCID 0000-0001-8506-9880
Nick SevdalisHealth Service and Population Research Department, King's College London, De Crespingy Park, London, SE5 8AF, UK.
Louise SilvertonRoyal College of Midwives, 10-18 Union Street, London, SE1 1SZ, UK.
James HarrisChelsea and Westminster Hospital, 369 Fulham Road, London, SW10 9NH, UK.
Ipek Gurol-UrganciCentre for Quality Improvement and Clinical Audit, Royal College of Obstetricians and Gynaecologists, 10-18 Union Street, London, SE1 1SZ, UK.
Alexandra HellyerCentre for Quality Improvement and Clinical Audit, Royal College of Obstetricians and Gynaecologists, 10-18 Union Street, London, SE1 1SZ, UK.
Robert FreemanUniversity Hospitals Plymouth NHS Trust, Derriford Road, Devon, PL6 8DH, UK.
Jan van der MeulenDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.
Ranee ThakarCroydon Health Services NHS Trust, 530 London Road, Croydon, CR7 7YE, UK.
Royal College of Obstetricians and Gynaecologists · GBChelsea and Westminster Hospital · GBCroydon Health Services NHS Trust · GBKing's College London · GBLondon School of Hygiene & Tropical Medicine · GBRoyal College of Midwives · GBUniversity Hospitals Plymouth NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisObstetric anal sphincter injury (OASI) is a severe form of perineal trauma that can occur during vaginal birth. Long-term morbidities include anal incontinence and psychosocial disorders. To reduce these injuries within England, Scotland and Wales, the OASI Care Bundle was introduced to 16 maternity units (January 2017-March 2018). The OASI Care Bundle comprises four elements: (1) antenatal information, (2) manual perineal protection, (3) medio-lateral episiotomy (when indicated) and 4) recognition and diagnosis of tears. As part of the project evaluation, a qualitative study was conducted to explore women's experiences of the OASI Care Bundle.

methodsSemi-structured interviews were conducted with women (n = 19) who received the OASI Care Bundle as part of their maternity care. This was to explore their experience of each element. A thematic analysis of the interview data was performed.

resultsThree themes were identified: (1) memories of touch, whereby women reported that a 'hands-on' approach to perineal protection was a positive experience; (2) midwife as a supportive guide, where women reported that good communication facilitated a calm birth and post-birth diagnosis; (3) education: women need more information about perineal trauma.

conclusionThis study contributes to the literature through its exploration of women's experiences of perineal protection techniques and diagnosis of perineal trauma. Interviewed women indicated that they did not experience any of the care bundle elements as an intrusion of their physical integrity. Additionally, an urgent need was identified for more information about perineal trauma in terms of risk, prevention and recovery.

Indexed as

LacerationsMaternal Health ServicesObstetric Labor ComplicationsPatient Care BundlesAnal CanalDelivery, ObstetricEpisiotomyFemaleHumansPerineumPregnancy‘Care bundle’‘Hands-on’MaternityOASIPerineal traumaQualitative

Identifiers

PMID33475817
PMCPMC8295065
OpenAlexW3126117112

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.