{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T08:33:53Z","timestamp":1780475633044,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T00:00:00Z","timestamp":1530748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2018,9]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To evaluate long\u2010term sustainability of the Stop Traumatic OASI<\/jats:styled-content> Morbidity Project (STOMP<\/jats:styled-content>) in reducing the incidence of obstetric anal sphincter injury (OASI<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>A prospective observational study of women undergoing vaginal delivery at a UK<\/jats:styled-content> district general hospital between September 1, 2014, and February 28, 2017. The principles of STOMP<\/jats:styled-content> involve encouraging upright positioning, verbal coaching to avoid expulsive pushing and to slow down delivery, and tactile support to the vertex to judge speed and slow down delivery. After a training period, STOMP<\/jats:styled-content> was implemented for all vaginal deliveries. Clinical and demographic data on women affected by OASI<\/jats:styled-content> were collected across a 30\u2010month period. The primary outcome measure was the incidence of OASI<\/jats:styled-content>.<\/jats:p><\/jats:sec>Results<\/jats:title>There were 8782 vaginal deliveries during the 30\u2010month period after implementation of STOMP<\/jats:styled-content>. There was a significant decrease in the mean incidence of OASI<\/jats:styled-content> relative to the 9\u00a0months before implementation (P<\/jats:italic><0.001). There was a significant decrease in the incidence of OASI<\/jats:styled-content> for both spontaneous vaginal and instrumental deliveries (both P<\/jats:italic><0.05). There was no change in the frequency of episiotomy.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Implementation of STOMP<\/jats:styled-content> led to a significant decrease in OASI<\/jats:styled-content>, confirming the sustainability of this approach to improve outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12565","type":"journal-article","created":{"date-parts":[[2018,6,9]],"date-time":"2018-06-09T10:24:50Z","timestamp":1528539890000},"page":"295-299","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Long\u2010term outcomes of the Stop Traumatic OASI<\/scp> Morbidity Project (STOMP<\/scp>)"],"prefix":"10.1002","volume":"142","author":[{"given":"Maya","family":"Basu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Medway NHS Foundation Trust Gillingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dot","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Medway NHS Foundation Trust Gillingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1065-y"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12898"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-014-0157-y"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0883-0"},{"issue":"12","key":"e_1_2_7_6_1","first-page":"CD00672","article-title":"Perineal techniques during the second stage of labour for reducing perineal trauma","author":"Aasheim V","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2012.01483.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0730-7659.2006.00088.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31816c4402"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181eda77a"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.04.033"},{"key":"e_1_2_7_12_1","first-page":"Pii: A5075","article-title":"Manual protection of the perineum reduces the risk of obstetric anal sphincter ruptures","volume":"62","author":"Leenskjold S","year":"2015","journal-title":"Dan Med J"},{"key":"e_1_2_7_13_1","first-page":"3461","article-title":"Do we know enough? A quality assessment of the Finnish intervention to prevent obstetric anal sphincter injuries","volume":"29","author":"Skriver\u2010Moller A","year":"2016","journal-title":"J Matern Fetal Neonatal Med"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-008346"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13431"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003355"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-2956-1"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.10.013"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00835.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03293.x"},{"key":"e_1_2_7_21_1","first-page":"23","article-title":"Cutting a mediolateral episiotomy at the correct angle: Evaluation of a new device, the Episcissors\u201060","volume":"7","author":"Freeman R","year":"2014","journal-title":"Med Devices (Aukl)"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S94680"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13439"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01961.x"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjquality.u217936.w7106"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2013.791268"}],"container-title":["International Journal of Gynecology & Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12565","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12565","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T07:11:36Z","timestamp":1695021096000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12565"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,5]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1002\/ijgo.12565"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12565","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,5]]},"assertion":[{"value":"2018-01-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}