/
Questions/
Assignment/
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
Looking For Plagiarism Free Answers For Your UK College/ University Assignments.
BUY NOWEvaluate 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
Get help by expert
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.
Recent solved questions
- ILM: Assess own leadership behaviours and potential in the context of a particular leadership model and own organisation's working practices and culture: Leadership skills and development, Assignment, UOA, UK
- ILM: Describe the factors that will influence the choice of leadership styles or behaviours in workplace situations: Leadership skills and development, Assignment, UOA, UK
- ATHE Level 7 Unit 5 : You Have Been A Senior Manager For Several Years And Have Decided That Your Next Career Move Should Be To Take Responsibility: Personal Development for Leadership and Strategic Management Assignment, UK
- You are required to prepare a 5-year strategy review to shareholders for evaluating the business simulation: 5-year strategy review to shareholders, Report, UOEL, UK
- CMI Unit 502: Approaches to achieving a balance of skills and experience in a team: Principles of Developing, Managing and Leading Individuals and Teams, Assignment, UK
- CMI Unit 502: Principles of Developing, Managing and Leading Individuals and Teams, Assignment, UK
- UNIT-701: How the principles of strategic leadership can be applied to respond to complex organisational challenges: Strategic Leadership, Assignment, CMI, UK
- UNIT- 701: The leadership behaviours and skills required to deliver strategic goals: Strategic Leadership, Assignment, CMI, UK
- UNIT- 701: Understanding of how the organisational context influences management and leadership practice: Strategic Leadership, Assignment, CMI, UK
- Evaluate the concept of evidence-based practice and assess how approaches to evidence-based practice: Evidence - based practices, Report, UOH, UK