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

Reducing the frequency of episiotomies through a continuous quality improvement program

J L Reynolds1

  • 1Department of Family Medicine, University of Western Ontario, London.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|August 1, 1995
PubMed
Summary

A continuous quality improvement (CQI) program significantly reduced episiotomy rates in low-risk obstetrics, particularly for first-time mothers, leading to fewer severe perineal tears. The CQI model shows promise for improving clinical practices in childbirth.

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

Supplemental trace minerals (zinc, copper, and manganese) as sulfates, organic amino acid complexes, or hydroxy trace-mineral sources for shipping-stressed calves.

The professional animal scientist·2020
Same author

Galectin-1 suppresses methamphetamine induced neuroinflammation in human brain microvascular endothelial cells: Neuroprotective role in maintaining blood brain barrier integrity.

Brain research·2015
Same author

Effect of castration timing and oral meloxicam administration on growth performance, inflammation, behavior, and carcass quality of beef calves.

Journal of animal science·2015
Same author

Nanotherapeutic approach for opiate addiction using DARPP-32 gene silencing in an animal model of opiate addiction.

Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology·2015
Same author

Demonstration of ignition radiation temperatures in indirect-drive inertial confinement fusion hohlraums.

Physical review letters·2011
Same author

A resident learns about family dynamics.

Canadian family physician Medecin de famille canadien·2011

Area of Science:

  • Obstetrics and Gynecology
  • Healthcare Quality Improvement
  • Public Health

Background:

  • Episiotomy is a surgical procedure performed during childbirth.
  • High episiotomy rates can be associated with adverse maternal and neonatal outcomes.
  • Continuous Quality Improvement (CQI) programs offer a framework for enhancing healthcare processes.

Purpose of the Study:

  • To evaluate the effectiveness of a CQI program in reducing episiotomy rates.
  • To assess the impact of the CQI program on perineal trauma and postpartum complications.

Main Methods:

  • A before-and-after study design was employed.
  • CQI methods were utilized to analyze and modify labor and birth care processes.
  • Educational strategies focused on appropriate episiotomy indications and perineal protection techniques.

Related Experiment Videos

Main Results:

  • The overall episiotomy rate decreased significantly from 44.5% to 33.3%.
  • Primiparous women experienced a significant reduction in episiotomy rates and severe perineal tears.
  • Multiparous women showed a decreased episiotomy rate but an increase in second-degree perineal tears, with no increase in other complications.

Conclusions:

  • The CQI model effectively modified clinical practices related to episiotomy.
  • Understanding care processes and the clinical environment is crucial for influencing physician behavior.
  • Further research is needed to confirm the long-term sustainability and specific effective components of the CQI approach.