ArticleInternational urogynecology journal2021
The OASI care bundle quality improvement project: lessons learned and future direction.
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 19 papers, 3 of them syntheses that pooled it.
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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.
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.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Caesarean section and anal incontinence in women after obstetric anal sphincter injury: A systematic review and meta-analysis.BJOG : an international journal of obstetrics and gynaecology · 2025Pooled it
- Effectiveness of education and training programmes to help clinicians assess and classify perineal tears: a systematic review.BMJ open · 2025Pooled it
- Care bundles for women during pregnancy, labour/birth, and postpartum: a scoping review.HRB open research · 2024Pooled it
- IUGA International Guidelines on Obstetric Anal Sphincter Injuries.International urogynecology journal · 2026Article
- Female pelvic floor protection-Where do we have to go?Acta obstetricia et gynecologica Scandinavica · 2026Review
- Association Between Active Phase of the Second Stage of Labour and Obstetrical Anal Sphincter Injury Risk: A Contemporary, Retrospective, Population-Based Cohort Study.International urogynecology journal · 2026Article
- Development and psychometric evaluation of a scale assessing nursing students' knowledge, attitudes, and practices regarding evidence-based care bundles.BMC nursing · 2026Article
- Maternity care bundle for UK women with multiple long-term health conditions: coproduction workshops.BMJ open · 2026Article
- A Care Bundle Aiming to Reduce the Risk of Obstetric Anal Sphincter Injury: A Survey of Women's Experiences.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Obstetric Anal Sphincter Injury Care Bundle: A Quality Improvement Initiative.International urogynecology journal · 2024Article
- Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010-2023.BMJ quality & safety · 2024Review
- 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
- Antenatal, Intrapartum and Postpartum Interventions for Preventing Postpartum Urinary and Faecal Incontinence: An Umbrella Overview of Cochrane Systematic Reviews.Journal of clinical medicine · 2023Review
- The relationship between perineal trauma and postpartum psychological outcomes: a secondary analysis of a population-based survey.BMC pregnancy and childbirth · 2023Article
- Fostering Excellence in Obstetrical Surgery.Journal of healthcare leadership · 2023Review
- Perianal Diseases in Pregnancy and After Childbirth: Frequency, Risk Factors, Impact on Women's Quality of Life and Treatment Methods.Frontiers in surgery · 2022Review
- Which elements were significant in reducing obstetric anal sphincter injury? A prospective follow-up study.BMC pregnancy and childbirth · 2021Article
- Maternal birth trauma and its consequences: time to raise awareness.International urogynecology journal · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Rising rates of obstetric anal sphincter injury (OASI) led to a collaborative effort by the Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College of Midwives (RCM) to develop and evaluate the OASI Care Bundle (OASI-CB). The OASI-CB comprises four practices (antenatal discussion about OASI, manual perineal protection, mediolateral episiotomy at 60° from the midline, and systematic examination of the perineum, vagina and ano-rectum after vaginal birth) and was initially implemented as part of a quality improvement (QI) project-"OASI1"-in 16 maternity units across Great Britain. Evaluation of the OASI1 project found that the care bundle reduced OASI rates and identified several barriers and enablers to implementation. This paper summarises the key findings, including strengths, limitations and lessons learned from the OASI1 QI project, and provides rationale for further evaluation of the OASI-CB.
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Registered trials
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.