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A Care Bundle Aiming to Reduce the Risk of Obstetric Anal Sphincter Injury: A Survey of Women's Experiences.
BJOG
December 2024
Obstetrics and Gynaecology, Croydon University Hospitals NHS Trust, Croydon, UK.
Objective: To study experiences of women who gave birth in maternity units that have implemented a 'care bundle' quality improvement initiative to reduce obstetric anal sphincter injury (OASI) and associated morbidity.
Design: Postnatal electronic questionnaire.
Setting: Twenty-nine maternity units across England, Scotland and Wales.
Pain Following Obstetric Anal Sphincter Injuries: A Prospective Cohort Study.
Urogynecology (Phila)
December 2024
Division of Urogynecology and Pelvic Floor Disorders, Cleveland Clinic Obstetrics and Gynecology and Women's Health Institute, Cleveland, OH.
Importance: Studies characterizing pain and pain management following obstetric anal sphincter injury (OASI) are limited.
Objectives: Our primary objective was to analyze time to pain resolution following OASI. Secondary objectives included analyzing pain severity, location, triggers, and patterns of pain medication use.
Evaluation of Comprehensive Documentation After Obstetric Anal Sphincter Injury.
Int Urogynecol J
November 2024
Urogynecology & Pelvic Reconstructive Surgery, Department of OB/GYN & Reproductive Sciences, UC San Diego, San Diego, CA, USA.
Introduction And Hypothesis: The incidence of obstetric anal sphincter injuries (OASI) has increased in recent years, which may be due to improved recognition and documentation. There is limited evidence regarding the effects of thorough documentation of obstetric anal sphincter injury repairs on postpartum clinical outcomes. Our objectives were to (1) compare the incidence of perineal wound complications between documentation groups, (2) compare other adverse events, and (3) to describe factors associated with adequate documentation.
View Article and Find Full Text PDFPredicting dropout and non-response to psychotherapy for personality disorders: A study protocol focusing on therapist, patient, and the therapeutic relationship.
BMC Psychol
November 2024
Department of Psychology, Catholic University of Sacred Heart of Milan, Milan, Italy.
Background: The abandonment of psychotherapeutic treatments is influenced by various factors, including patient characteristics, therapist traits, and the therapeutic relationship. Despite the well-documented importance of these factors, limited empirical research has focused on the role of the therapeutic relationship and the characteristics of therapist-patient dyads in predicting treatment dropout. This study protocol outlines a longitudinal research project aimed at predicting dropout and non-response in psychotherapy for individuals with personality disorders.
View Article and Find Full Text PDFRacial/Ethnic Impact on Obstetric Anal Sphincter Injuries: A Multicentric Retrospective Study.
Int Urogynecol J
November 2024
Department of Gynaecology and Obstetrics, University Hospital Maggiore Della Carità, University of Eastern Piedmont, Corso Mazzini, 18, 28100, Novara, Italy.
Introduction And Hypothesis: Obstetric anal sphincter injuries (OASIs), third- and fourth-degree lacerations, represent a severe obstetric complication. Previous studies reported a higher incidence of OASIs in Asian women in non-Asian countries. This study was aimed at establishing a different OASIs prevalence among the racial/ethnic groups in Southern European centers.
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