
TY  - JOUR
A1  - Nicholl, Michael C 
A1  - Cattell, Miriam A 
T1  - Getting evidence into obstetric and midwifery practice: reducing perineal trauma
JF  - Australian Health Review
JO  - Aust. Health Review
Y1  - 2006
VL  - 30
IS  - 4
SP  - 462
EP  - 467
KW  - 
UR  - https://doi.org/10.1071/AH060462 
N2  - Problem: Frequent obstetric perineal morbidity in a hospital setting with service providers inexperienced in getting evidence into practice. Design: Clinical practice improvement methodology in a tertiary referral obstetric unit. Strategies for change: To cease active instruction to push in the second stage of labour; encourage the adoption of the left lateral position when delivering on a bed; use of the vacuum extractor rather than forceps where instrumental delivery indicated. Effects of change: Improved perineal outcomes with a 21.5% increase in intact perineum rate and a 100% reduction in fourth degree perineal tears. Lessons learned: Clinical practice improvement methodology is a useful tool for getting evidence into practice, resulting in improved clinical outcomes. 
ER  -

