干旱区生态环境知识资源中心(Arid): The impact of a nationwide hands-on workshop on the diagnostic rates and management of obstetrical anal sphincter Injuries in Israel

Arid

DOI	10.1111/codi.15220
	The impact of a nationwide hands-on workshop on the diagnostic rates and management of obstetrical anal sphincter Injuries in Israel
	Ginath, S.; Alcalay, M.; Ben Ami, M.; Bssam Abbas, Y.; Cohen, G.; Condrea, A.; Feit, H.; Gershi, H.; Gold, R.; Goldschmidt, E.; Gordon, D.; Groutz, A.; Lavy, Y.; Levy, G.; Lowenstein, L.; Marcus, N.; Padoa, A.; Samuelof, A.; Tevet, A.; Weintraub, A. Y.
通讯作者	Ginath, S
来源期刊	COLORECTAL DISEASE
ISSN	1462-8910
EISSN	1463-1318
出版年	2020
卷号	22 期号:11 页码:1686-1693
英文摘要	Aim The aim was to evaluate the influence of a half day, hands-on, workshop on the detection and repair of obstetric anal sphincter injuries (OASIs). Method Starting in February 2011, hands-on workshops for the diagnosis and repair of OASIs were delivered by trained urogynaecologists in departments of tertiary medical centres in Israel. The structure of the hands-on workshop resembles the workshop organized at the International Urogynecological Association annual conferences. Participants included medical staff, midwives and surgical residents from each medical centre. We collected data regarding the rate of OASIs, 1 year before and 1 year following the workshop, in 11 medical centres. The study population was composed of parturients with the following inclusion criteria: singleton pregnancy, vertex presentation and vaginal delivery. Pre-viable preterm gestations (< 24 weeks), birth weight < 500 g, stillborn, and those with major congenital anomalies, multifoetal pregnancies, breech presentations and caesarean deliveries were excluded from the analysis. Results In the reviewed centres, 70 663 (49.3%) women delivered prior to the workshop (pre-workshop group) and 72 616 (50.7%) women delivered following the workshop (post-workshop group). Third- or fourth-degree perineal tears occurred in 248 women (0.35%) before the workshop, and in 328 (0.45%) following the workshop, a significant increase of 28.7% (P = 0.002). The increase in diagnosis was significant also in women with third-degree tears alone, 226 women (0.32%) before the workshop and 298 (0.41%) following the workshop, an increase of 28.3% (P = 0.005). Conclusion The detection rate of OASIs has significantly increased following the hands-on workshop. The implementation of such programmes is crucial for increasing awareness and detection rates of OASI following vaginal deliveries.
英文关键词	Obstetric anal sphincter injury OASI hands-on workshop medical education
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000574755200001
WOS关键词	RISK-FACTORS ; URINARY-INCONTINENCE ; PERINEAL-LACERATION ; FECAL INCONTINENCE ; VAGINAL DELIVERY ; NORDIC COUNTRIES ; TEARS ; TERM ; RUPTURE ; TRENDS
WOS类目	Gastroenterology & Hepatology ; Surgery
WOS研究方向	Gastroenterology & Hepatology ; Surgery
来源机构	Ben-Gurion University of the Negev ; Hebrew University of Jerusalem
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/326610
作者单位	[Ginath, S.; Condrea, A.; Feit, H.] Edith Wolfson Med Ctr, Dept Obstet & Gynecol, Holon, Israel; [Ginath, S.; Alcalay, M.; Condrea, A.; Feit, H.; Gold, R.; Gordon, D.; Groutz, A.; Padoa, A.] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel; [Alcalay, M.] Chaim Sheba Med Ctr, Dept Obstet & Gynecol, Ramat Gan, Israel; [Ben Ami, M.; Bssam Abbas, Y.] Baruch Padeh Med Ctr, Dept Obstet & Gynecol, Poriya, Israel; [Ben Ami, M.; Bssam Abbas, Y.; Marcus, N.] Bar Ilan Univ, Azrieli Fac Med Galilee, Ramat Gan, Israel; [Cohen, G.; Goldschmidt, E.] Technion, Dept Obstet & Gynecol, Bnei Zion Med Ctr, Rappaport Fac Med, Haifa, Israel; [Gershi, H.; Levy, G.] Mayanei HaYeshua Med Ctr, Dept Obstet & Gynecol, Bnei Braq, Israel; [Gold, R.; Gordon, D.; Groutz, A.] Lis Matern Hosp, Tel Aviv Sourasky Med Ctr, Dept Obstet & Gynecol, Tel Aviv, Israel; [Lavy, Y.] Hadassah Mt Scopus, Dept Obstet & Gynecol, Jerusalem, Israel; [Lavy, Y.; Samuelof, A.] Hebrew Univ Jerusalem, Jerusalem, Israel; [Lowenstein, L.] Rambam Hlth Care Campus, ...
推荐引用方式 GB/T 7714	Ginath, S.,Alcalay, M.,Ben Ami, M.,et al. The impact of a nationwide hands-on workshop on the diagnostic rates and management of obstetrical anal sphincter Injuries in Israel[J]. Ben-Gurion University of the Negev, Hebrew University of Jerusalem,2020,22(11):1686-1693.
APA	Ginath, S..,Alcalay, M..,Ben Ami, M..,Bssam Abbas, Y..,Cohen, G..,...&Weintraub, A. Y..(2020).The impact of a nationwide hands-on workshop on the diagnostic rates and management of obstetrical anal sphincter Injuries in Israel.COLORECTAL DISEASE,22(11),1686-1693.
MLA	Ginath, S.,et al."The impact of a nationwide hands-on workshop on the diagnostic rates and management of obstetrical anal sphincter Injuries in Israel".COLORECTAL DISEASE 22.11(2020):1686-1693.