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Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma

OBJECTIVE: To examine episiotomy practices before and after a multi-component intervention designed to support the use and generation of research evidence in maternal and neonatal health care. METHODS: Set in 9 centers across 4 Southeast Asian countries, a retrospective survey was performed for 12 r...

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Autores principales: Ho, Jacqueline J., Pattanittum, Porjai, Japaraj, Robert P., Turner, Tari, Swadpanich, Ussanee, Crowther, Caroline A.
Formato: Texto
Lenguaje:English
Publicado: Elsevier 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2957817/
https://www.ncbi.nlm.nih.gov/pubmed/20598690
http://dx.doi.org/10.1016/j.ijgo.2010.04.035
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author Ho, Jacqueline J.
Pattanittum, Porjai
Japaraj, Robert P.
Turner, Tari
Swadpanich, Ussanee
Crowther, Caroline A.
author_facet Ho, Jacqueline J.
Pattanittum, Porjai
Japaraj, Robert P.
Turner, Tari
Swadpanich, Ussanee
Crowther, Caroline A.
author_sort Ho, Jacqueline J.
collection PubMed
description OBJECTIVE: To examine episiotomy practices before and after a multi-component intervention designed to support the use and generation of research evidence in maternal and neonatal health care. METHODS: Set in 9 centers across 4 Southeast Asian countries, a retrospective survey was performed for 12 recommended pregnancy/childbirth practices and 13 outcomes of women in each center before and after intervention. Qualitative interviews were conducted to assess staff awareness and experience in evidence-based practice. RESULTS: There were significant decreases in the rate of episiotomy, from 64.1% to 60.1% (risk difference [RD] –4.0; 95% confidence interval [CI], –5.8 to –2.2) for all women and from 92.2% to 80.7% (RD –11.5; 95% CI, –13.4 to –9.6) for nulliparous women. Severe trauma decreased from 3.9% to 1.9% (RD –2.0; 95% CI, –2.7 to –1.4) for all women and from 6.7% to 3.0% (RD –3.7; 95% CI, –4.9 to –2.5) for nulliparous women. The frequency of intact perineum increased from 12.4% to 15.6% (RD 3.2; 95% CI, 1.9–4.6) for all women and from 1.7% to 8.0% (RD 6.3; 95% CI, 5.0–7.5) for nulliparous women. CONCLUSION: An intervention based on understanding and using the best available evidence can result in significant improvements in care and health outcomes.
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spelling pubmed-29578172010-10-21 Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma Ho, Jacqueline J. Pattanittum, Porjai Japaraj, Robert P. Turner, Tari Swadpanich, Ussanee Crowther, Caroline A. Int J Gynaecol Obstet Clinical Article OBJECTIVE: To examine episiotomy practices before and after a multi-component intervention designed to support the use and generation of research evidence in maternal and neonatal health care. METHODS: Set in 9 centers across 4 Southeast Asian countries, a retrospective survey was performed for 12 recommended pregnancy/childbirth practices and 13 outcomes of women in each center before and after intervention. Qualitative interviews were conducted to assess staff awareness and experience in evidence-based practice. RESULTS: There were significant decreases in the rate of episiotomy, from 64.1% to 60.1% (risk difference [RD] –4.0; 95% confidence interval [CI], –5.8 to –2.2) for all women and from 92.2% to 80.7% (RD –11.5; 95% CI, –13.4 to –9.6) for nulliparous women. Severe trauma decreased from 3.9% to 1.9% (RD –2.0; 95% CI, –2.7 to –1.4) for all women and from 6.7% to 3.0% (RD –3.7; 95% CI, –4.9 to –2.5) for nulliparous women. The frequency of intact perineum increased from 12.4% to 15.6% (RD 3.2; 95% CI, 1.9–4.6) for all women and from 1.7% to 8.0% (RD 6.3; 95% CI, 5.0–7.5) for nulliparous women. CONCLUSION: An intervention based on understanding and using the best available evidence can result in significant improvements in care and health outcomes. Elsevier 2010-10 /pmc/articles/PMC2957817/ /pubmed/20598690 http://dx.doi.org/10.1016/j.ijgo.2010.04.035 Text en © 2010 Elsevier Ireland Ltd. https://creativecommons.org/licenses/by/4.0/ Open Access under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/) license
spellingShingle Clinical Article
Ho, Jacqueline J.
Pattanittum, Porjai
Japaraj, Robert P.
Turner, Tari
Swadpanich, Ussanee
Crowther, Caroline A.
Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma
title Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma
title_full Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma
title_fullStr Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma
title_full_unstemmed Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma
title_short Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma
title_sort influence of training in the use and generation of evidence on episiotomy practice and perineal trauma
topic Clinical Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2957817/
https://www.ncbi.nlm.nih.gov/pubmed/20598690
http://dx.doi.org/10.1016/j.ijgo.2010.04.035
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