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

Jacqueline Ho, Porjai Pattanittum, Robert P Japaraj, Tari Turner, Ussanee Swadpanich, Caroline A Crowther, SEA-ORCHID Study Group

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)13-8
Number of pages6
JournalInternational Journal of Gynecology and Obstetrics
Volume111
Issue number1
DOIs
Publication statusPublished - Oct 2010
Externally publishedYes

Keywords

  • Adult
  • Episiotomy
  • Evidence-Based Medicine
  • Female
  • Humans
  • Multicenter Studies as Topic
  • Parity
  • Parturition
  • Perineum
  • Pregnancy
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult
  • Journal Article
  • Research Support, Non-U.S. Gov't

Fingerprint Dive into the research topics of 'Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma'. Together they form a unique fingerprint.

Cite this