Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Changes in the use of episiotomy--methods and consequences]

T B Henriksen1, K M Bek, M Hedegaard

  • 1Arhus Kommunehospital, perinatal epidemiologisk forskningsenhed, gynaekologisk-obstetrisk afdeling.

Ugeskrift for Laeger
|October 2, 1995
PubMed
Summary

Feedback on episiotomy rates significantly reduced their use in childbirth, leading to more intact perineums and fewer tears. This intervention improved clinical practice and maternal outcomes during spontaneous vaginal deliveries.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Accuracy of a modified CMT+ for assessing pelvic floor muscle contraction in pregnancy.

Ceska gynekologie·2025
Same author

Less Invasive Surfactant Administration Versus Intubate-Surfactant-Extubate: Associated With Reduced Mechanical Ventilation in Extremely Preterm Infants.

Acta paediatrica (Oslo, Norway : 1992)·2025
Same author

Simulation-based team training for healthcare professionals in pediatric departments: study protocol for a nonrandomized controlled trial.

BMC medical education·2024
Same author

Challenges in conducting paediatric trials with off-patent drugs.

Contemporary clinical trials communications·2021
Same author

Fertility treatment with clomiphene citrate and childhood epilepsy: a nationwide cohort study.

Human reproduction (Oxford, England)·2021
Same author

Antenatal magnesium sulphate for the prevention of cerebral palsy in infants born preterm: a double-blind, randomised, placebo-controlled, multi-centre trial.

BJOG : an international journal of obstetrics and gynaecology·2020

Area of Science:

  • Obstetrics and Gynecology
  • Midwifery Practice
  • Clinical Quality Improvement

Background:

  • Episiotomy rates vary significantly among healthcare providers.
  • Understanding the impact of feedback on clinical practice is crucial for improving maternal care.
  • Midwives' attitudes towards episiotomy influence delivery outcomes.

Purpose of the Study:

  • To evaluate the impact of graphical feedback on episiotomy rates among midwives.
  • To assess the effect of this intervention on clinical practice and perineal outcomes in spontaneous vaginal deliveries.
  • To analyze how different initial episiotomy rates influence the effectiveness of feedback.

Main Methods:

  • A quasi-experimental study design comparing two periods: pre-intervention (observation) and post-intervention (feedback).

Related Experiment Videos

  • Inclusion of 3919 spontaneous vaginal deliveries assisted by 30 midwives with established practice.
  • Graphical feedback provided to midwives on their individual and peer episiotomy rates.

    • Main Results:

    • The overall episiotomy rate decreased by 17.8% after the feedback intervention.
    • Women experienced a higher incidence of intact perineums (3.2% increase) and perineal tears (3.4% increase).
    • Midwives with initially higher episiotomy rates showed greater reductions; those reducing low rates saw no significant change in severe tears.

    Conclusions:

    • Graphical feedback is an effective tool for reducing episiotomy rates in clinical practice.
    • The intervention positively impacted perineal outcomes, increasing intact perineums and minor tears.
    • Targeted feedback strategies may be necessary to optimize outcomes and minimize severe perineal trauma.