Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 Feb;20(2):193-9.
doi: 10.1007/s00192-008-0756-y. Epub 2008 Nov 18.

Structured hands-on training in repair of obstetric anal sphincter injuries (OASIS): an audit of clinical practice

Vasanth Andrews  1 , Ranee Thakar, Abdul H Sultan
Affiliations

Structured hands-on training in repair of obstetric anal sphincter injuries (OASIS): an audit of clinical practice

Vasanth Andrews et al. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Feb.

Erratum in

  • Int Urogynecol J Pelvic Floor Dysfunct. 2009 Nov;20(11):1397

Abstract

We conducted an audit to evaluate how effective a structured course in the management of obstetric anal sphincter injuries (OASIS) was at imparting knowledge. Training was undertaken using models and cadaveric pig's anal sphincters. An anonymous questionnaire was completed prior to and 8 weeks after the course. Four hundred and ninety seven completed the questionnaire before and 63% returned it after the course. Prior to the course, participants performed on average 14 OASIS repairs independently. Only 13% were satisfied with their level of experience prior to performing their first unsupervised repair. After the course, participants classified OASIS more accurately and changed to evidence-based practice. Particularly, there was a change in identifying (60% vs. 90%; P < 0.0001) and repairing the internal sphincter (60% vs. 90%; P < 0.0001). This audit demonstrated that training in the management of OASIS is suboptimal. Structured training may be effective in changing clinical practice and should be an adjunct to surgical training.

PubMed Disclaimer

References

    1. Obstet Gynecol. 2000 Jul;96(1):146-50 - PubMed
    1. Best Pract Res Clin Obstet Gynaecol. 2002 Feb;16(1):99-115 - PubMed
    1. Am J Obstet Gynecol. 2000 Nov;183(5):1220-4 - PubMed
    1. Cochrane Database Syst Rev. 2006 Jul 19;(3):CD002866 - PubMed
    1. Eur J Obstet Gynecol Reprod Biol. 2002 Feb 10;101(1):19-21 - PubMed