BACKGROUND We aim to establish the evidence base for the recognition and management of obstetric anal sphincter injury (OASI) and to compare this with current practice amongst UK obstetricians and coloproctologists. METHODS A systematic review of the literature and a postal questionnaire survey of consultant obstetricians, trainee obstetricians and consultant coloproctologists was carried out...

Background. National episiotomy guidelines state that restricted use is preferable, but the indications for this selective performance are not firmly defined, and the benefits are not clearly determined. Objective. To examine the attitudes of Israeli midwives and doctors towards episiotomy use and to review these in light of the relevant professional literature. Methods. Using anonymous questio...

BACKGROUND Clinical practice in Russia is set out in a series of centralized guidelines. However, many of these guidelines are not supported by evidence and, despite their existence, there is considerable unexplained variation in practice. This study examines the decision to recommend a Caesarean section, an intervention for which there is a solid evidence base, but whose use varies considerabl...

BACKGROUND Contemporary obstetrics in sub-Saharan Africa is yet to meet the analgesic needs of most women during child birth for a satisfactory birth experience and expectedly, obstetricians have a major role to play in achieving this. METHODS This was a questionnaire-based, cross-sectional study of 151 obstetricians and gynecologists that attended the 46th Annual General Meeting and Scientif...

BACKGROUND The purpose of this study was to assess the attitudes and prescribing practices of Brazilian obstetricians and gynecologists regarding use of contraceptive methods to interfere with menstruation and/or induce amenorrhea. METHODS We undertook a nationwide survey of Brazilian obstetricians and gynecologists selected using a computer-generated randomization system. Participants comple...

BACKGROUND The cesarean section rate has been steadily rising from 35% in 2000 to 40% in 2005 in Iran. The objective of this study was to identify barriers of reduce the cesarean section rate in Iran, as perceived by obstetricians and midwives as the main behavioral change target groups. METHODS A qualitative study with purposive sampling was designed in which data were collected through in-d...

The Affordable Care Act (ACA) requires states to provide tobacco-cessation services without cost-sharing for pregnant traditional Medicaid-beneficiaries effective October 2010. It is unknown the extent to which obstetricians-gynecologists are aware of the Medicaid tobacco-cessation benefit. We sought to examine the awareness of the Medicaid tobacco-cessation benefit in a national sample of obst...

PURPOSE The object of this study was to determine factors leading to episiotomy in low-risk vaginal deliveries, including a comparison of family physicians with obstetricians. The research was also to assess the incidence of episiotomy in a large community hospital and compare it with a national rate of 40%. METHODS A retrospective cohort design was used with computerized records from one hos...

OBJECTIVE To assess obstetricians' and midwives' knowledge of routine prenatal screening tests for fetal abnormality and factors associated with such knowledge. DESIGN Questionnaire assessment of antenatal clinic staff. SETTING Six hospitals within the United Kingdom (four district general hospitals in London, one district general hospital in Wales, and one teaching hospital in Wales), offe...