- Level 2 NVQ Diploma in Specialist Concrete Occupations Assignment: Knowledge and Understanding of Health, Safety, Work Practices, and Concrete Application
- Level 4 SPS4064 Physiology of Exercise Assignment: Comprehensive Assessment Through MCQs and an In-Depth Marathon Running Case Study
- Communication Management Assignment: Monitoring, Evaluating, and Improving Workplace Communication Systems
- Unit 806 Culture and its Impact on Strategy Assignment: A Critical Evaluation of International Organisational Policy, Decision-Making & Stakeholder Dynamics
- CMI Unit 601 Professional Management and Leadership Practice Assignment – The Influence of Organisational Context on Management and Leadership
- ILM L 7 unit 700 Assignment : Understanding the Principles and Practice of Effective Coaching and Mentoring at an Executive or Senior Level
- A Comprehensive Assignment Report – Unit 804 Strategic Direction in Cross-Border and Global Business
- BTEC Unit 7 Calculus Assignment: Integration Methods, Motion Analysis, Work & Cooling Law Applications
- BTEC Level 3 Unit 7 Engineering Calculus Assignment: Differentiation Applications, Graphs & Optimisation Problems
- ILM Unit 8605-417 Managing & Implementing Change in the Workplace Assignment: Analysis, Opportunities & Action Plan
- 7NDEMP02 Patient Management in Advanced Collision Tumour: Surgical, Postoperative, and Prosthetic Rehabilitation Considerations
- ATHE Level 4 Unit 12 Web Design Assignment: CTO Birdwatching Message Board Using Full-Stack Development
- ATHE Level 4 Unit 15 Software Testing Assignment: TDD & BDD Strategies for Python-Based Medical Data Validator
- ATHE Level 4 Unit 21 Computing Project Assignment: E-Learning Platform Design & Planning for Scalable Online Education
- CMI Level 521 Assignment: DKM&X Case Study for Data-Driven Decision Making
- ATHE Level 7 Financial Reporting Assignment: Ethics & Group Statements Case Guide for Trainee Accountants
- Public Health Poster Assignment: Historical and Organisational Analysis in a National Context
- CMI Level 5 Operational Plan Assignment: CMI Case Study on Delivering Strategic Goals in a Large Organisation
- CIPD 7C001 Assignment: Explore Key Trends, Tech Impacts, Change Models & Bias in People Management
- 7CO02 CIPD Level 7 Assignment: Strategic & Ethical People Management Practices Across Sectors
Evaluate the impact of a care bundle (antenatal information to women, manual perineal protection and mediolateral episiotomy when indicated) on obstetric anal sphincter injury (OASI) rates: Obstetrics and Gynaecology Research Paper, QEUH, UK
| University | Queen Elizabeth University Hospital (QEUH) |
| Subject | Obstetrics and Gynaecology |
Objective
To evaluate the impact of a care bundle (antenatal information to women, manual perineal protection, and mediolateral episiotomy when indicated) on obstetric anal sphincter injury (OASI) rates.
Design
Multicentre stepped-wedge cluster design.
Setting Sixteen maternity units located in four regions across England, Scotland, and Wales.
Do You Need Assignment of This Question
Population
Women with singleton live births between October 2016 and March 2018.
Methods
Stepwise region by region roll-out every 3 months starting January 2017. The four maternity units in a region started at the same time. Multi-level logistic regression was used to estimate the impact of the care bundle, adjusting for time trend and case-mix factors (age, ethnicity, body mass index, parity, birth weight, and mode of birth).
main outcome measures
Obstetric anal sphincter injury in singleton live vaginal births.
Results
A total of 55 060 singleton live vaginal births were included (79% spontaneous and 21% operative). The median maternal age was 30 years (interquartile range 26–34 years) and 46% of women were primiparous. The OASI rate decreased from 3.3% before to 3.0% aftercare bundle implementation (adjusted odds ratio 0.80, 95% CI 0.65–0.98, P = 0.03). There was no evidence that the effect of the care bundle differed
according to parity (P = 0.77) or mode of birth (P = 0.31). There were no significant changes in cesarean section(P = 0.19) or episiotomy rates (P = 0.16) during the study period.
Conclusions
The implementation of this care bundle reduced OASI rates without affecting cesarean section rates of episiotomy use. These findings demonstrate its potential for reducing perineal trauma during childbirth.
Keywords
Obstetric anal sphincter injury, perineal tear, quality improvement.
Tweetable abstract
OASI Care Bundle reduced severe perineal tear rates without affecting cesarean section rates of episiotomy use.
Buy Answer of This Assessment & Raise Your Grades
Queen Elizabeth University Hospital (QEUH) scholars, are you engrossed in Obstetrics and Gynaecology inquiries? Maximize your research paper potential with specialized UK-based Research Paper Writing Service. Navigating the complexities of women’s health demands meticulous attention, and our platform offers expert backing. At Diploma Assignment Helper UK, we comprehend your academic expedition. Collaborate with seasoned writers to curate a noteworthy research paper, while ensuring substantial strides in your academic career.
Answer
Do You Need Assignment of This Question
