干旱区生态环境知识资源中心(Arid): Prevention and Management of Severe Obstetric Anal Sphincter Injuries (OASIs): a National Survey of Nurse- Midwives

Arid

DOI	10.1007/s00192-019-03897-x
	Prevention and Management of Severe Obstetric Anal Sphincter Injuries (OASIs): a National Survey of Nurse- Midwives
	Diko, Sindi; Guiahi, Maryam; Nacht, Amy; Connell, Kathleen A.; Reeves, Shane; Bailey, Beth A.; Hurt, K. Joseph
通讯作者	Hurt, KJ (corresponding author), Univ Colorado, Dept Obstet & Gynecol, Div Reprod Sci, Anschutz Med Campus, Aurora, CO 80045 USA. ; Hurt, KJ (corresponding author), Univ Colorado, Dept Obstet & Gynecol, Div Maternal Fetal Med, Anschutz Med Campus, Aurora, CO 80045 USA. ; Hurt, KJ (corresponding author), Univ Colorado, Anschutz Med Campus,12700 East 19th Ave, Aurora, CO 80045 USA.
会议名称	Annual Clinical and Scientific Meeting of the American-College-of-Obstetricians-and-Gynecologists (ACOG)
会议日期	MAY 06-09, 2017
会议地点	San Diego, CA
英文摘要	Introduction and hypothesis There are no data on midwives' knowledge and management of obstetric anal sphincter injuries (OASIs) in the USA. We performed a cross-sectional national survey characterizing OASI practice by certified nurse midwives (CNMs), hypothesizing that few midwives personally repair OASIs and that there are gaps in CNM OASI training/education. Methods We emailed a REDCap internet-based survey to 6909 American College of Nurse Midwives members (ACNM). We analyzed responses from active clinicians performing at least one delivery per month, asking about OASI risks, prevention, repair, and management. We summarized descriptive data then evaluated OASI knowledge by patient and provider characteristics. Results We received 1070 (15.5%) completed surveys, and 832 (77.8%) met the inclusion/exclusion criteria. Participants were similar to ACNM membership. Respondents most frequently identified prior OASI (87%) and nutrition (71%) as antepartum OASI risk factors and, less frequently, nulliparity (36%) and race (22%). Identified intrapartum risks included forceps delivery (94%) and midline episiotomy (88%). When obstetric laceration is suspected, 13.6% of respondents perform a rectal examination routinely. Only 15% of participants personally perform OASI repair. Overall, participants matched 64% of evidence-based answers. OASI education/training courses were attended by 30% of respondents, and 44% knew of OASI protocols within their group/institution. Of all factors evaluated, the percent of evidence-based responses was only different for respondent education/CME and protocols. Conclusions Quality initiatives regarding OASI prevention and management may improve care. Our data suggest OASI training for midwives may improve delivery care in the US. Further studies of other obstetric providers are needed.
英文关键词	Cross-sectional Education Midwifery OASIs Perineal trauma Quality improvement
来源出版物	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2020
卷号	31
期号	3
页码	591-604
出版者	SPRINGER LONDON LTD
类型	Article; Proceedings Paper
语种	英语
国家	USA
收录类别	CPCI-S
WOS记录号	WOS:000521333300020
WOS关键词	3RD-DEGREE ; RATES
WOS类目	Obstetrics & Gynecology ; Urology & Nephrology
WOS研究方向	Obstetrics & Gynecology ; Urology & Nephrology
资源类型	会议论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/313861
作者单位	[Diko, Sindi] St Josephs Univ, Med Ctr, Dept Surg, Paterson, NJ USA; [Guiahi, Maryam] Univ Colorado, Dept Obstet & Gynecol, Div Family Planning, Anschutz Med Campus, Aurora, CO USA; [Nacht, Amy] Univ Colorado, Coll Nursing, Nurse Midwifery Program, Anschutz Med Campus, Aurora, CO USA; [Connell, Kathleen A.] Univ Colorado, Dept Obstet & Gynecol, Div Urogynecol, Anschutz Med Campus, Aurora, CO USA; [Connell, Kathleen A.; Hurt, K. Joseph] Univ Colorado, Dept Obstet & Gynecol, Div Reprod Sci, Anschutz Med Campus, Aurora, CO 80045 USA; [Reeves, Shane; Bailey, Beth A.; Hurt, K. Joseph] Univ Colorado, Dept Obstet & Gynecol, Div Maternal Fetal Med, Anschutz Med Campus, Aurora, CO 80045 USA; [Hurt, K. Joseph] Univ Colorado, Anschutz Med Campus,12700 East 19th Ave, Aurora, CO 80045 USA
推荐引用方式 GB/T 7714	Diko, Sindi,Guiahi, Maryam,Nacht, Amy,et al. Prevention and Management of Severe Obstetric Anal Sphincter Injuries (OASIs): a National Survey of Nurse- Midwives[C]:SPRINGER LONDON LTD,2020:591-604.