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Hebamme 2019; 32(04): 51-56
DOI: 10.1055/a-0953-4180
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© Georg Thieme Verlag KG Stuttgart · New York

Hochgradige Dammverletzungen evidenzbasiert reduzieren ‒ OASI Care Bundle Project

Daniela Garten
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Publication Date:
02 September 2019 (online)

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Mit dem OASI Care Bundle Project wurde ein Maßnahmenpaket zur Reduzierung geburtshilflicher Sphinkterverletzungen erarbeitet. Der folgende Beitrag erläutert die evidenzbasierten Elemente und zeigt ihre Relevanz für geburtshilfliche Einrichtungen auf.

 

  • Literatur

  • 1 Aasheim V, Nilsen AB, Lukasse M. et al. Perineal techniques during the second stage of labour for reducing perineal trauma. Cochrane Database Syst Rev; 2011
    Search in Google Scholar
  • 2 Ampt AJ, Ford JB, Roberts CL. et al. Trends in obstetric anal sphinter injuries and associated risk factors for vaginal singleton term births in New South Wales 2001 – 2009. Aus N Z J Obstet Gynaecol 2013; 53 (01) : 9-16
    CrossrefPubMedSearch in Google Scholar
  • 3 Antonakou A. Hands-on or hands-off the perineum at childbirth: A re-appraisal of the available evidence. Eur J Midwifery 2017; 1: 5
    Search in Google Scholar
  • 4 Api O, Balcin ME, Ugurel V. et al. The effect of uterine fundal pressure on the duration of the second stage of labor: A randomized controlled trial. Acta Obsterica et Gynecologica Scandinavica 2009; 88: 320‒324
    Search in Google Scholar
  • 5 Basu M, Smith D, Edwards R. Can the incidence of obstetric anal sphincter injury be reduced? The STOMP experience. European Journal of Obstetrics & Gynecology and Reproductive Biology 2016; 202: 55-59
    CrossrefPubMedSearch in Google Scholar
  • 6 Bidwell P, Thakar R, Sevdalis N. et al. A multi-centre quality improvement project to reduce the incidence of obstetric anal sphincter injury (OASI): study protocol. BMC Pregnancy and Childbirth 2018; 18: 331
    CrossrefPubMedSearch in Google Scholar
  • 7 Dahlen HG, Priddis H, Thornton C. Severe perineal trauma is rising, but let us not overreact. Midwifery 2015 31. 1-8
    PubMedSearch in Google Scholar
  • 8 Ducarme G. Pizzoferrato AC2, de Tayrac R et al. Perineal prevention and protection in obstetrics: CNGOF clinical practice guidelines. J Gynaecol Obstet Hum Reprod 2018; 2468-7847 (18) 30519-1
  • 9 Edozien LC, Gurol-Urganci I, Cromwell DA. et al. Impact of third- and fourth-degree perineal tears at first birth on subsequent pregnancy outcomes: a cohort study. BJOG 2014; 121: 1695-1704
    CrossrefPubMedSearch in Google Scholar
  • 10 Groutz A, Hasson J, Wengier A. et al. Third- and fourth-degree perineal tears: prevalence and risk factors in the third millennium. Am J Obstet Gynecol 2011; 204: 1-4
    CrossrefSearch in Google Scholar
  • 11 Gurol-Urganci I, Cromwell DA, Edozien LC. et al. Third- and fourth-degree perineal tears among primiparous women in England between 2000 and 2012: time trends and risk factors. BJOG 2013; 120: 1516-1525
    CrossrefPubMedSearch in Google Scholar
  • 12 Hals E, Øian P, Pirhonen T. et al. A Multicenter Interventional Program to Reduce the Incidence of Anal Sphincter Tears. Obstet Gynecol 2010; 116: 901-908
    CrossrefPubMedSearch in Google Scholar
  • 13 Harder U. Verzögerte Kopfgeburt – Alternativen zum Kristeller-Handgriff. Die Hebamme 2016; 29: 373-380
    Thieme ConnectSearch in Google Scholar
  • 14 Institut für Qualitätssicherung und Transparenz im Gesundheitswesen (IQTIG). Bundesauswertung zum Erfassungsjahr. 2017. Geburtshilfe Qualitätsindikatoren. Berlin: Institut für Qualitätssicherung und Transparenz im Gesundheitswesen; 2018;
    Search in Google Scholar
  • 15 Kainer F. Kristellerhilfe – obsolet der sinnvoll?. Die Hebamme 2016; 20: 238‒240
    Search in Google Scholar
  • 16 Keriakos R, Gopinath D. Obstetric anal sphincter injuries. Journal of Acute Disease 2015; (04) 4 : 259-265
    CrossrefSearch in Google Scholar
  • 17 Krissi H, Aviram A, Hiersch L. et al. Structured hands-on workshop decreases the over-detection rate of obstetrical anal sphincter injuries. Int J Colorectal Dis; 2015
    Search in Google Scholar
  • 18 Labrecque M, Eason E, Marcoux S. et al. Randomised controlled trial of prevention of perineal trauma by perineal massage during pregnancy. Am J Obstet Gynecol 1999; 180: 593‒600
    PubMedSearch in Google Scholar
  • 19 Laine K, Gissler M, Pirhonen J. Changing incidence of anal sphincter tears in four Nordic countries through the last decades. Eur J Obstet Gynecol Reprod Biol 2009; 146 (01) : 71-75
    CrossrefPubMedSearch in Google Scholar
  • 20 Laine K, Skjeldestad FE, Sandvik L. et al. Incidence of obstetric anal sphincter injuries after training to protect the perineum. : cohort study. BMJ Open; 2012
    Search in Google Scholar
  • 21 Leenskjold S, Høj L, Pirhonen J. et al. Manual protection of the perineum reduces the risk of obstetric anal sphinter ruptures. Danish Medical Journal 2015; 62 (05) : A5075
    PubMedSearch in Google Scholar
  • 22 Mahendru R, Malik S, Anand T. et al. Age old practice of Uterine Fundal Pressure in Labour – more risky than beneficial. Biomedical Reseach 2010; 21: 295-296
    Search in Google Scholar
  • 23 Meister MR, Cahill AG, Conner SN. et al. Predicting obstetric anal sphincter injuries in a modern obstetric population. Am J Obstet Gynecol. 2016; 215 (03) : 310, 1-7
    CrossrefPubMedSearch in Google Scholar
  • 24 National German Guideline. (S-1): Guideline for the management of third and fourth degree perineal tears after vaginal birth; AWMF 2014 Registry No. 015 / 079
    PubMed
  • 25 National Institute for Health and Care Excellence (NICE). Episcissors-60 for guided mediolateral episiotomy (MIB33). Medtech innovation briefing; 2015
    Search in Google Scholar
  • 26 Pirhonen JP, Grenman SE, Haadem K. et al. Frequency of anal sphincter rupture at delivery in Sweden and Finland - result of difference in manual help to the baby’s head. Acta Obstet Gynecol Scand 1998; 77: 974-977
    CrossrefPubMedSearch in Google Scholar
  • 27 Resar R, Griffin FA, Haraden C. et al. Using Care Bundles to Improve Health Care Quality. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2012
    Search in Google Scholar
  • 28 Schmidt-Wussow S. Maßnahmen während der Austreibungsphase, um Dammverletzungen zu reduzieren. Übersetzung freigegeben durch Cochrane Deutschland; 2017
    Search in Google Scholar
  • 29 Stedenfeldt M, Øian P, Gissler M. et al. Risk factors for obstetric anal sphincter injury after a successful multicentre interventional programme. BJOG 2014; 121 (01) : 83‒91
    PubMedSearch in Google Scholar
  • 30 Sultan AH, Kettle C. Diagnosis of Perineal Trauma. In: Sultan AH. Thakar R. Fenner DE. Hrsg. Perineal and Anal Sphincter Trauma. London: Springer; 2009
    Search in Google Scholar
  • 31 Thiagamoorthy G, Johnson A, Thakar R. et al. National survey of perineal trauma and its subsequent management in the United Kingdom. IUJ 2014; 25 (12) : 1621-1627
    Search in Google Scholar
  • 32 Trochez R, Waterfield M, Freeman RM. Hands on or hands off the perineum: a survey of care of the perineum in labour (HOOPS). Int Urogynecol J 2011; 22: 1279-1285
    CrossrefPubMedSearch in Google Scholar
  • 33 Verheijen EC, Raven JH, Hofmeyr GJ. et al. Fundal pressure during the second stage of labour. Cochrane Database of Systematic Review 2009 Issue 4 . Art. No.: CD006067
    PubMedSearch in Google Scholar