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The study aimed to evaluate the effectiveness of an educational workshop on perineal protection in reducing the incidence of Obstetric Anal Sphincter Injuries (OASIS) in a hospital setting. OASIS is a serious complication of childbirth, with up to 50% of women experiencing long-lasting anal incontinence. While many risk factors for OASIS are non-modifiable, the technique of manual perineal protection can be modified. Several European countries have implemented programs to reinforce manual perineal protection techniques, leading to a decrease in OASIS rates. The researchers sought to replicate this success in their institution.<br /><br />The results of the study showed that the rate of full-term, singleton vaginal deliveries was similar before and after the intervention. The overall OASIS rates did not significantly decrease following the educational workshop. However, there was a significant reduction in OASIS rates following forceps-assisted deliveries. Fourth-degree lacerations for "resident-only" deliveries also decreased significantly.<br /><br />In conclusion, the educational workshop focusing on perineal support was not associated with a significant reduction in overall OASIS rates. However, there was a positive influence of the intervention on decreased forceps-related OASIS and fourth-degree laceration rates. This suggests that the workshop was effective in reducing certain types of OASIS. The study highlights the need for further research and interventions to protect the perineum during childbirth and prevent OASIS.
Keywords
educational workshop
perineal protection
Obstetric Anal Sphincter Injuries
OASIS
hospital setting
childbirth complications
manual perineal protection
OASIS rates
forceps-assisted deliveries
fourth-degree lacerations
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