{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T17:45:23Z","timestamp":1773510323080,"version":"3.50.1"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics & Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2025,2]]},"DOI":"10.1016\/j.ejogrb.2024.12.008","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T00:12:03Z","timestamp":1734048723000},"page":"107-116","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"special_numbering":"C","title":["Efficacy of intrapartum bundles and interventions in reducing vaginal delivery-related perineal trauma: a systematic review"],"prefix":"10.1016","volume":"305","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0429-729X","authenticated-orcid":false,"given":"Giovanni","family":"Morganelli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefania","family":"Fieni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"dell\u2019Omo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vito Andrea","family":"Capozzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Di Serio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Dall\u2019Asta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tullio","family":"Ghi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.ejogrb.2024.12.008_b0005","article-title":"New series of reviews on evidence-based L&D management and cesarean delivery","volume":"2","author":"Berghella","year":"2020","journal-title":"Am J ObstetGynecol MFM"},{"issue":"22","key":"10.1016\/j.ejogrb.2024.12.008_b0010","first-page":"00541","article-title":"Repair of episiotomy and obstetrical perineal lacerations (first-fourth)","volume":"S0002\u20139378","author":"Schmidt","year":"2022","journal-title":"Am J Obstet Gynecol"},{"issue":"12","key":"10.1016\/j.ejogrb.2024.12.008_b0015","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-032368","article-title":"Obstetric perineal tears, sexual function and dyspareunia among primiparous women 12 months postpartum: a prospective cohort study","volume":"9","author":"Gommesen","year":"2019","journal-title":"BMJ Open"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0020","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.midw.2016.01.012","article-title":"Frequency, severity and persistence of postnatal dyspareunia to 18 months post partum: a cohort study","volume":"34","author":"McDonald","year":"2016","journal-title":"Midwifery"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0025","unstructured":"Third- and Fourth-degree Perineal Tears, Management (Green-top Guideline No. 29), produced on behalf of the Royal College of Obstetricians and Gynaecologists by: Mr RJ Fernando FRCOG, London; Mr AH Sultan FRCOG, London; Professor RM Freeman FRCOG, Plymouth; Dr AA Williams MRCOG, Bolton; and Dr EJ Adams FRCOG, Liverpool; June 2015."},{"key":"10.1016\/j.ejogrb.2024.12.008_b0030","doi-asserted-by":"crossref","unstructured":"Practice Bulletin No. 165: prevention and management of obstetric lacerations at vaginal delivery. Obstet Gynecol 2016;128(1):e1-e15.","DOI":"10.1097\/AOG.0000000000001523"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.12.008_b0035","article-title":"Antenatal perineal massage for reducing perineal trauma","volume":"30","author":"Beckmann","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"10.1016\/j.ejogrb.2024.12.008_b0040","article-title":"Perineal techniques during the second stage of labour for reducing perineal trauma","volume":"6","author":"Aasheim","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"9","key":"10.1016\/j.ejogrb.2024.12.008_b0045","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1111\/1471-0528.13431","article-title":"Manual perineal support at the time of childbirth: a systematic review and meta-analysis","volume":"122","author":"Bulchandani","year":"2015","journal-title":"BJOG"},{"issue":"12","key":"10.1016\/j.ejogrb.2024.12.008_b0050","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1111\/j.1471-0528.2004.00282.x","article-title":"Delayed versus early pushing in women with epidural analgesia: a systematic review and meta-analysis","volume":"111","author":"Roberts","year":"2004","journal-title":"BJOG"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0055","series-title":"Cochrane handbook for systematic reviews of interventions.","author":"Higgins","year":"2011"},{"issue":"372","key":"10.1016\/j.ejogrb.2024.12.008_b0060","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"29","author":"Page","year":"2021","journal-title":"BMJ"},{"issue":"366","key":"10.1016\/j.ejogrb.2024.12.008_b0065","article-title":"RoB 2: a revised tool for assessing risk of bias in randomised trials","volume":"28","author":"Sterne","year":"2019","journal-title":"BMJ"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0070","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.ejogrb.2022.01.011","article-title":"Combined perineal massage and warm compress compared to massage alone during active second stage of labour in nulliparas: a randomised trial","volume":"270","author":"Hong","year":"2022","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"9","key":"10.1016\/j.ejogrb.2024.12.008_b0075","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1007\/s10654-010-9491-z","article-title":"Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses","volume":"25","author":"Stang","year":"2010","journal-title":"Eur J Epidemiol"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0080","series-title":"The centre for evidence-based medicine","author":"Home\u20142020","year":"2023"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0085","doi-asserted-by":"crossref","DOI":"10.1016\/j.midw.2023.103763","article-title":"Perineal massage and warm compresses \u2013 randomised controlled trial for reduce perineal trauma during labor","volume":"124","author":"Rodrigues","year":"2023","journal-title":"Midwifery"},{"issue":"3","key":"10.1016\/j.ejogrb.2024.12.008_b0090","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1002\/ijgo.12565","article-title":"Long-term outcomes of the Stop Traumatic OASI Morbidity Project (STOMP)","volume":"142","author":"Basu","year":"2018","journal-title":"Int J Gynaecol Obstet"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.12.008_b0095","first-page":"e289","article-title":"Importance of individual elements for perineal protection in childbirth: an interventional","volume":"8","author":"Rasmussen","year":"2018","journal-title":"Prospective Trial AJP Rep"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.12.008_b0100","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1111\/birt.12409","article-title":"Effects of an intervention program for reducing severe perineal trauma during the second stage of labor","volume":"46","author":"Sveinsdottir","year":"2019","journal-title":"Birth"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.12.008_b0105","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1080\/01443615.2019.1587605","article-title":"A multicentre study on the effect of moderate perineal protection technique: a new technique for perineal management in labour","volume":"40","author":"Ma","year":"2020","journal-title":"J Obstet Gynaecol"},{"issue":"8","key":"10.1016\/j.ejogrb.2024.12.008_b0110","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajogmf.2023.101038","article-title":"Effect of the \u201cshoulder-up\u201d bundle on the incidence of spontaneous perineal injury after vaginal delivery: comparison of 2 historic cohorts after propensity score matching","volume":"5","author":"Morganelli","year":"2023","journal-title":"Am J Obstet Gynecol MFM"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.12.008_b0115","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s00404-020-05572-9","article-title":"Impact of a selective use of episiotomy combined with Couder's maneuver for the perineal protection","volume":"302","author":"Forey","year":"2020","journal-title":"Arch Gynecol Obstet"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0120","doi-asserted-by":"crossref","DOI":"10.1016\/j.srhc.2019.100460","article-title":"Incidence and risk factors for obstetric anal sphincter ruptures, OASIS, following the introduction of preventive interventions. A retrospective cohort study from a Norwegian hospital 2012-2017","volume":"22","author":"Selmer-Olsen","year":"2019","journal-title":"Sex Reprod Healthc"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0125","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.ijnurstu.2018.04.002","article-title":"Perineal injury associated with hands on\/hands poised and directed\/undirected pushing: a retrospective cross-sectional study of non-operative vaginal births, 2011-2016","volume":"83","author":"Lee","year":"2018","journal-title":"Int J Nurs Stud"},{"issue":"4","key":"10.1016\/j.ejogrb.2024.12.008_b0130","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1097\/AOG.0b013e3181eda77a","article-title":"A multicenter interventional program to reduce the incidence of anal sphincter tears","volume":"116","author":"Hals","year":"2010","journal-title":"Obstet Gynecol"},{"issue":"5","key":"10.1016\/j.ejogrb.2024.12.008_b0135","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1097\/AOG.0b013e31816c4402","article-title":"Decreasing the incidence of anal sphincter tears during delivery","volume":"111","author":"Laine","year":"2008","journal-title":"Obstet Gynecol"},{"issue":"12","key":"10.1016\/j.ejogrb.2024.12.008_b0140","first-page":"14168","article-title":"Application of natural shoulder delivery combined with free position delivery in maternal delivery","volume":"13","author":"Huang","year":"2021","journal-title":"Am J Transl Res"},{"issue":"3","key":"10.1016\/j.ejogrb.2024.12.008_b0145","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1111\/1471-0528.16396","article-title":"Impact of a quality improvement project to reduce the rate of obstetric anal sphincter injury: a multicentre study with a stepped-wedge design","volume":"128","author":"Gurol-Urganci","year":"2021","journal-title":"BJOG"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0150","doi-asserted-by":"crossref","DOI":"10.1016\/j.midw.2020.102712","article-title":"The effects of hands on and hands off\/poised techniques on maternal outcomes: a systematic review and meta-analysis","volume":"87","author":"Huang","year":"2020","journal-title":"Midwifery"},{"issue":"5","key":"10.1016\/j.ejogrb.2024.12.008_b0155","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2012-001649","article-title":"Incidence of obstetric anal sphincter injuries after training to protect the perineum: cohort study","volume":"2","author":"Laine","year":"2012","journal-title":"BMJ Open"},{"issue":"1","key":"10.1016\/j.ejogrb.2024.12.008_b0160","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/AOG.0000000000002060","article-title":"An initiative to reduce the episiotomy rate: association of feedback and the Hawthorne effect with leapfrog goals","volume":"130","author":"Zhang-Rutledge","year":"2017","journal-title":"Obstet Gynecol"},{"issue":"12","key":"10.1016\/j.ejogrb.2024.12.008_b0165","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1111\/j.1471-0528.1998.tb10004.x","article-title":"A randomised controlled trial of care of the perineum during second stage of normal labour","volume":"105","author":"McCandlish","year":"1998","journal-title":"Br J Obstet Gynaecol"},{"issue":"6","key":"10.1016\/j.ejogrb.2024.12.008_b0170","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1080\/14767058.2019.1619686","article-title":"Hands-on versus hands-off techniques for the prevention of perineal trauma during vaginal delivery: a systematic review and meta-analysis of randomized controlled trials","volume":"34","author":"Pierce-Williams","year":"2021","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"2 Pt 1","key":"10.1016\/j.ejogrb.2024.12.008_b0175","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1097\/AOG.0b013e31817f2867","article-title":"Modified Ritgen's maneuver for anal sphincter injury at delivery: a randomized controlled trial","volume":"112","author":"J\u00f6nsson","year":"2008","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0180","first-page":"17","article-title":"FIGO Safe Motherhood and Newborn Health Committee. FIGO Statement: restrictive use rather than routine use of episiotomy","volume":"146","author":"Nassar","year":"2019","journal-title":"Int J GynaecolObstet"},{"issue":"3","key":"10.1016\/j.ejogrb.2024.12.008_b0185","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/0002-9378(94)90070-1","article-title":"Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation","volume":"171","author":"Klein","year":"1994","journal-title":"Am J Obstet Gynecol"},{"issue":"2","key":"10.1016\/j.ejogrb.2024.12.008_b0190","article-title":"Risk factors associated with severe perineal lacerations during vaginal delivery: a 10-year propensity score-matched observational study","volume":"3","author":"Laurita Longo","year":"2023","journal-title":"AJOG Glob Rep"},{"key":"10.1016\/j.ejogrb.2024.12.008_b0195","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1097\/SPV.0000000000000777","article-title":"A clinical risk model to predict obstetric anal sphincter injuries in laboring patients","volume":"26","author":"Woo","year":"2020","journal-title":"Female Pelvic Med Reconstr Surg"},{"issue":"3S","key":"10.1016\/j.ejogrb.2024.12.008_b0200","doi-asserted-by":"crossref","first-page":"S917","DOI":"10.1016\/j.ajog.2022.12.305","article-title":"Assisted vaginal birth in 21st century: current practice and new innovations","volume":"230","author":"Bahl","year":"2024","journal-title":"Am J Obstet Gynecol"}],"container-title":["European Journal of Obstetrics & Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S030121152400681X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S030121152400681X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T15:32:57Z","timestamp":1737387177000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S030121152400681X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":40,"alternative-id":["S030121152400681X"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2024.12.008","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Efficacy of intrapartum bundles and interventions in reducing vaginal delivery-related perineal trauma: a systematic review","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2024.12.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}