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Sökning: onr:"swepub:oai:DiVA.org:uu-481665" > Attitudes and knowl...

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FältnamnIndikatorerMetadata
00005262naa a2200445 4500
001oai:DiVA.org:uu-481665
003SwePub
008220816s2022 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:150169594
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4816652 URI
0247 a https://doi.org/10.1016/j.ejogrb.2021.12.0172 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1501695942 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Ankarcrona, Victoriau Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Stockholm, Sweden.;Danderyd Hosp, Dept Obstet & Gynecol, S-18288 Stockholm, Sweden.4 aut
2451 0a Attitudes and knowledge regarding episiotomy use and technique in vacuum extraction :b A web-based survey among doctors in Sweden
264 1b Elsevier,c 2022
338 a electronic2 rdacarrier
520 a Objectives: Correct episiotomy use and technique may prevent obstetric anal sphincter injuries. We aimed to explore the attitudes, use, and technique regarding episiotomy among doctors in Sweden, and their willingness to contribute to a randomized controlled trial of lateral episiotomy or no episiotomy in vacuum extraction in nulliparous women.Study design: A web-based survey was sent to members of the Swedish Society of Obstetrics and Gynecology (n = 2140). The survey included 31 questions addressing personal characteristics, use of episiotomy, a two-dimensional picture on which the respondents drew an episiotomy, and questions regarding attitudes towards episiotomy and participation in a randomized controlled trial. We calculated the proportion of supposedly protective episiotomies (fulfilling criteria of a lateral or mediolateral episiotomy and a length >= 30 mm). We compared the results between obstetricians, gynecologists, and residents using Chi-square and Kruskal-Wallis tests for differences between groups, and logistic regression to estimate the odds ratio (OR) of drawing a protective episiotomy.Results: We received 432 responses. Doctors without a vacuum delivery in the past year were excluded, leaving 384 respondents for further analyses. In all, 222 (57.8%) doctors reported use of episiotomy in<50% of vacuum extractions. We obtained 308 illustrated episiotomies with a median angle of 53 degrees, incision point distance from the midline of 21 mm, and length of 36 mm, corresponding to a lateral episiotomy. Few doctors combined these parameters correctly resulting in 167 (54.2%) incorrectly drawn episiotomies. Residents drew shorter episiotomies than obstetricians and gynecologists. Doctors ranked episiotomy the least important intervention to prevent obstetric anal sphincter injuries in vacuum extraction. Doctors contributing to an ongoing randomized controlled trial of lateral episiotomy or no episiotomy in vacuum extraction were more able to draw a protective episiotomy (OR 3.69, 95% confidence interval 1.94-7.02).Conclusions: Doctors in Sweden reported restrictive use of episiotomy in vacuum extraction and depicted lateral type episiotomies, although the majority were incorrectly drawn. Preventive episiotomy was ranked of low importance. Our results imply a need for education, training, and guidelines to increase uptake of correct episiotomy technique, which could result in improved prevention of obstetric anal sphincter injuries.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng
653 a Obstetric anal sphincter injury
653 a Lateral episiotomy
653 a Mediolateral episiotomy
653 a Protective episiotomy
653 a Clinical practice
7001 a Hesselman, Susanne,d 1973-u Uppsala universitet,Klinisk obstetrik,Centrum för klinisk forskning Dalarna4 aut0 (Swepub:uu)sushe649
7001 a Kallner, Helena Koppu Karolinska Institutet,Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Stockholm, Sweden.;Danderyd Hosp, Dept Obstet & Gynecol, S-18288 Stockholm, Sweden.4 aut
7001 a Wendel, Sophia Brismaru Karolinska Institutet,Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Stockholm, Sweden.;Danderyd Hosp, Dept Obstet & Gynecol, S-18288 Stockholm, Sweden.4 aut
7102 a Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Stockholm, Sweden.;Danderyd Hosp, Dept Obstet & Gynecol, S-18288 Stockholm, Sweden.b Klinisk obstetrik4 org
7730 t European Journal of Obstetrics, Gynecology, and Reproductive Biologyd : Elsevierg 269, s. 62-70q 269<62-70x 0301-2115x 1872-7654
8564 u https://doi.org/10.1016/j.ejogrb.2021.12.017y Fulltext
8564 u https://uu.diva-portal.org/smash/get/diva2:1687556/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u http://www.ejog.org/article/S0301211521010162/pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-481665
8564 8u https://doi.org/10.1016/j.ejogrb.2021.12.017
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:150169594

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