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Introduction
Incidence of caesarean section performed at full dilatation is increasing. Delivery can be technically challenging and associated with increased maternal and neonatal morbidity. The objectives of this study were to evaluate local caesarean section rate at full dilatation, assess the indications, review the maternal and neonatal morbidity and identify any training issues.
Zill-e Huma;R Haran;S Mantovani;E Colley;C Subair
Background
Episcissors-60 ® are fixed angle surgical scissors used for episiotomy during childbirth. They are designed to take away human error in estimating episiotomy angles and achieve a mediolateral cut at 60° to the perineal midline, hence minimising the risk of obstetric anal sphincter muscle injuries (OASIS) which requires surgical correction.` Initial results after the introduction of Episcissors-60 show that the majority of health care professionals a
Introduction
Validated questionnaires and urodynamic studies are used to diagnose and evaluate female lower urinary tract symptoms (FLUTS) including urinary incontinence and or urgency. Objective To validate and use Sinhata translations of the International Consultation on Incontinence Modular Questionnaire for FLUTS (ICIQ-FLUTS) and the King`s Health Questionnaire (KHQ).
Hypothesis / aims of study:
To evaluate a new service experience & the rate of Obstetric Anal Sphincter Injuries (OASIS) with the use of Episcissors at
instrumental deliveries.
Condell A Burden;S. Bulchandani
This good clinical practice paper provides an overview of the current evidence around second stage care, highlighting the challenges and the importance of maintaining high-quality, safe, and respectful care in all settings. It includes a series of recommendations based on best available evidence regarding length of second stage, judicious use of episiotomy, and the importance of competent attendants and adequate resource to facilitate all aspects of seco
Alison Wright;Anwar H. Nassar;Gerry Visser;Diana Ramasauskaite;Gerhard Theron
Guidance development process
How we develop NICE medical technologies guidance
NICE medical technologies guidance addresses specific technologies notified to NICE by sponsors. The ‘case for adoption’ is based on the claimed advantages of introducing the specific technology compared with current management of the co
Objectives: The aim of this systematic review is to evaluate the effect of Episcissors-60, which were designed to improve the accuracy of episiotomies, on the rate of Obstetric Anal Sphincter Injuries.
Study design: This review is registered with the International Prospective Register of Systematic Reviews (PROSPERO) database (CRD42018094935). A literature search of the PubMed, Embase and Cochrane databases
Jennifer Cole;Lauren Lacey;Supriya Bulchandani
Aim: To assess whether the introduction of episiotomy scissors specially designed to achieve a cutting angle of 60°, EPISCISSORS-60®, in two hospitals in the UK would result in a reduction in obstetric anal sphincter injuries (OASIS) in nulliparous women.
Methods: A structured training program for all doctors and midwives provided a theoretical framework around OASIS including risk factors and the role of episiotomies and a practical h
Yves van Roon;Ciara Kirwin;Nadia Rahman;Latha Vinayakarao;Louise Melson;Nikki Kester;Sangeeta Pathak;Ashish Pradhan