CARE FOR OBSTETRIC ANAL SPHINCTER INJURY (OASI)
5 Talks
Obstetric anal sphincter injury (OASI) is a severe morbidity within childbirth and is highlighted in recent MBRRACE and Ockenden reports. This boxset critically examines the OASI care bundle, exploring its recommendations and the evidence, and how the bundle is being applied in clinical settings.
Development and evaluations of the OASI Care Bundle: A quality improvements project to reduce the rates of severe perineal trauma
2018 | 18 mins | Care for Obstetric Anal Sphincter Injury (OASI)
Posy Bidwell Research Fellow, RCOG & Alexandra Hellyer, Project Manager, OASI Project, explains what an Obstetric anal sphincter injury (OASI) is and the potential consequences. They explain the aims behind creating the care bundle and discusses the evidence behind preventative interventions. The process of development of the bundle is presented along with what the care bundle involves, and implementation involves.
Dr Posy Bidwell Research Fellow, RCOG
Alexandra Hellyer, Project Manager, OASI Project
The OASI care bundle and perineal injury
2020 | 27 mins | Care for Obstetric Anal Sphincter Injury (OASI)
Jim Thornton, Professor of Obstetrics and Gynaecology at the University of Nottingham, discusses the OASI care bundle. Beginning with a definition of OASI injury and the care bundle, Jim goes on to critically explore the research and practical issues surrounding perineal guarding and rectal examination elements of the care bundle. This talk highlights the importance of basing evidence in practice and recording of perineal trauma to support building of evidence and improved practice.
Professor Jim Thornton, Professor of Obstetrics and Gynaecology, University of Nottingham
Correct use of the Finnish manual perineal protection technique
2020 | 8 mins | Care for Obstetric Anal Sphincter Injury (OASI)
Hana Kleprlikova, Research Midwife and PhD student, discusses her small study of the use of the Finnish grip for manual perineal protection in unit in London. The study observed the use of the technique in birth by clinicians, finding the correct use of in just under half of births. Hana discusses the common errors found in the use of the Finnish grip and explores some recommendations to improve clinical practice.
Hana Kleprlikova, Midwife, Croydon University Hospital, Imperial College London/Imperial College Healthcare NHS Trust; Charles University Prague
Knowledge of manual perineal protection technique across three maternity units in the Europe
2020 | 14 mins | Care for Obstetric Anal Sphincter Injury (OASI)
Manual perineal protection (MPP) is increasingly commonplace in supporting vaginal birth with the implementation of the OASI care bundle. Hana Kleprlikova, Research Midwife and PhD student, discusses their research exploring clinician knowledge of MPP in three maternity units across Europe. Starting with a discussion the correct use of Finnish and Viennese MPP, the talk explores the correct and incorrect use of these techniques in practice. International and local variation was found, with a theme of lack of confidence in MPP, particularly amongst more experienced clinicians. Hanna concludes with aa call to action to ensure appropriate training is in place to provide appropriate MPP.
Hana Kleprlikova, Midwife, Croydon University Hospital, Imperial College London/Imperial College Healthcare NHS Trust; Charles University Prague
Perineal Care at the time of birth
2019 | 7 mins | Care for Obstetric Anal Sphincter Injury (OASI)
In this PechaKucha pitch, PhD student and lecturer at Bournemouth University, Sara Stride, discusses her qualitative research focussing on midwives’ discussions about perineal care at birth. Sara explored what care midwives provided and why they chose hands on or hands off perineal support at birth. Using focus groups across the UK, a theme of variation in practice emerged alongside the midwives’ emotional responses to perineal morbidity. Sara concludes by exploring how this information is captured as the next steps of her research.
Sara Stride, Lecturer In Midwifery, Bournemouth University
