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All women experiencing obstetric anal sphincter injuries during the study period were identified and the rate of obstetric anal sphincter injuries before (2012\u20132013) a multidisciplinary training program was implemented was compared with the rate after (2013\u20132014) implementation using logistic regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study enrolled 4920 patients. Following the implementation of the training program, the rate of obstetric anal sphincter injuries decreased from 4.8% to 3.1% of vaginal deliveries (odds ratio 0.66; 95% confidence interval 0.493\u20130.899; <jats:italic>P<\/jats:italic> = 0.008).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The integration of intrapartum perineal\u2010care training into mandatory annual staff training was associated with a statistically and clinically significant reduction in the rate of obstetric anal sphincter injuries.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2015.12.011","type":"journal-article","created":{"date-parts":[[2016,5,4]],"date-time":"2016-05-04T20:40:48Z","timestamp":1462394448000},"page":"177-180","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["Multidisciplinary training in perineal care during labor and delivery for the reduction of anal sphincter injuries"],"prefix":"10.1002","volume":"134","author":[{"given":"Jonathan","family":"Frost","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rowan","family":"Gundry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Young","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel","family":"Naguib","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,4]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02964.x"},{"key":"e_1_2_6_3_2","volume-title":"Perineal and Anal Sphincter Trauma","author":"Sultan A.H.","year":"2009"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12363"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2013.831045"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12038"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1454-8"},{"issue":"5","key":"e_1_2_6_8_2","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 K.","year":"2012","journal-title":"BMJ Open"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10004.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-012-2333-3"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00835.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181eda77a"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-7-471"},{"key":"e_1_2_6_14_2","unstructured":"Royal College of Obstetricians and Gynaecologists.The Management of Third\u2010 and Fourth\u2010Degree Perineal Tears Green\u2010top Guideline No. 29.2015"}],"container-title":["International Journal of Gynecology &amp; 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