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Episiotomy: Are we ready to let women make choices in pregnancy and childbirth?
BMJ
August 2024
Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
A behavioral intervention to improve obstetrical care.
N Engl J Med
May 2008
Institute of Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Background: Implementation of evidence-based obstetrical practices remains a significant challenge. Effective strategies to disseminate and implement such practices are needed.
Methods: We randomly assigned 19 hospitals in Argentina and Uruguay to receive a multifaceted behavioral intervention (including selection of opinion leaders, interactive workshops, training of manual skills, one-on-one academic detailing visits with hospital birth attendants, reminders, and feedback) to develop and implement guidelines for the use of episiotomy and management of the third stage of labor or to receive no intervention.
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