干旱区生态环境知识资源中心(Arid): Episiotomy Technique and Management of Anal Sphincter Tears-A Survey of Clinical Practice and Education

Arid

DOI	10.1016/j.jogc.2016.09.006
	Episiotomy Technique and Management of Anal Sphincter Tears-A Survey of Clinical Practice and Education
	Menzies, Rebecca; Leung, Marian; Chandrasekaran, Nirmala; Lausman, Andrea; Geary, Michael
通讯作者	Menzies, R
来源期刊	JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA
ISSN	1701-2163
出版年	2016
卷号	38 期号:12 页码:1091-+
英文摘要	Objective: To ascertain current techniques of episiotomy used by obstetrics and gynaecology faculty members and residents in an academic department and to determine the current management strategies for third and fourth degree tears. Method: A 14-question anonymous online survey was circulated to all faculty members and residents in the University of Toronto Department of Obstetrics and Gynaecology between October 2015 and March 2016. Results were analyzed descriptively or with Fisher exact test. Results: The survey response rate was 65.5% (169/258) among 108 faculty members and 61 residents. A history of clinical teaching regarding episiotomy was reported by 87% of faculty members and 75.4% of residents. Right mediolateral episiotomy was the most frequently used method among faculty members (88.0%) and residents (95.1%). The majority of respondents indicated that they would use an end-to-end technique for repair in the labour and delivery room under regional anaesthesia. Prophylactic antibiotics were never prescribed by 18.5% of faculty members and 13.1% of residents for third or fourth degree tears. In analysis by type of training, respondents who had taken a workshop or formal class were significantly more likely to prescribe physiotherapy postpartum (P = 0.001). Conclusion: The most common reported method of learning episiotomy was clinical experience. A substantial number of responses differed from current SOGC guidelines for episiotomy technique and repair and management of anal sphincter injury. We propose developing a workshop and/or simulation-based method of instruction for episiotomy technique and repair. Copyright (C) 2016 The Society of Obstetricians and Gynaecologists of Canada/La Societe des obstetriciens et gynecologues du Canada. Published by Elsevier Inc. All rights reserved.
英文关键词	Episiotomy OASIS education workshop third-degree tear fourth-degree tear
类型	Article
语种	英语
收录类别	ESCI
WOS记录号	WOS:000443526900005
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/332004
作者单位	[Menzies, Rebecca; Leung, Marian; Lausman, Andrea] Univ Toronto, Dept Obstet & Gynaecol, Toronto, ON, Canada; [Chandrasekaran, Nirmala; Geary, Michael] St Michaels Hosp, Dept Obstet & Gynecol, Toronto, ON, Canada
推荐引用方式 GB/T 7714	Menzies, Rebecca,Leung, Marian,Chandrasekaran, Nirmala,et al. Episiotomy Technique and Management of Anal Sphincter Tears-A Survey of Clinical Practice and Education[J],2016,38(12):1091-+.
APA	Menzies, Rebecca,Leung, Marian,Chandrasekaran, Nirmala,Lausman, Andrea,&Geary, Michael.(2016).Episiotomy Technique and Management of Anal Sphincter Tears-A Survey of Clinical Practice and Education.JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA,38(12),1091-+.
MLA	Menzies, Rebecca,et al."Episiotomy Technique and Management of Anal Sphincter Tears-A Survey of Clinical Practice and Education".JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 38.12(2016):1091-+.