{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:56:06Z","timestamp":1767855366065,"version":"3.49.0"},"reference-count":44,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,10,4]],"date-time":"2020-10-04T00:00:00Z","timestamp":1601769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim was to evaluate the influence of a half day, hands\u2010on, workshop on the detection and repair of obstetric anal sphincter injuries (OASIs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Starting in February 2011, hands\u2010on workshops for the diagnosis and repair of OASIs were delivered by trained urogynaecologists in departments of tertiary medical centres in Israel. The structure of the hands\u2010on workshop resembles the workshop organized at the International Urogynecological Association annual conferences. Participants included medical staff, midwives and surgical residents from each medical centre. We collected data regarding the rate of OASIs, 1\u00a0year before and 1\u00a0year following the workshop, in 11 medical centres. The study population was composed of parturients with the following inclusion criteria: singleton pregnancy, vertex presentation and vaginal delivery. Pre\u2010viable preterm gestations (&lt;\u00a024\u00a0weeks), birth weight &lt;\u00a0500\u00a0g, stillborn, and those with major congenital anomalies, multifoetal pregnancies, breech presentations and caesarean deliveries were excluded from the analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the reviewed centres, 70\u00a0663 (49.3%) women delivered prior to the workshop (pre\u2010workshop group) and 72\u00a0616 (50.7%) women delivered following the workshop (post\u2010workshop group). Third\u2010 or fourth\u2010degree perineal tears occurred in 248 women (0.35%) before the workshop, and in 328 (0.45%) following the workshop, a significant increase of 28.7% (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.002). The increase in diagnosis was significant also in women with third\u2010degree tears alone, 226 women (0.32%) before the workshop and 298 (0.41%) following the workshop, an increase of 28.3% (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The detection rate of OASIs has significantly increased following the hands\u2010on workshop. The implementation of such programmes is crucial for increasing awareness and detection rates of OASI following vaginal deliveries.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15220","type":"journal-article","created":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T02:29:20Z","timestamp":1593052160000},"page":"1677-1685","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The impact of a nationwide hands\u2010on workshop on the diagnostic rates and management of obstetrical anal sphincter Injuries in Israel"],"prefix":"10.1111","volume":"22","author":[{"given":"S.","family":"Ginath","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Edith Wolfson Medical Center Holon Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Alcalay","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"},{"name":"Department of Obstetrics and Gynecology Chaim Sheba Medical Center Ramat Gan Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Ben Ami","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baruch Padeh Medical Center Poriya Israel"},{"name":"Azrieli Faculty of Medicine in the Galilee Bar\u2010Ilan University Ramat Gan Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Bssam Abbas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baruch Padeh Medical Center Poriya Israel"},{"name":"Azrieli Faculty of Medicine in the Galilee Bar\u2010Ilan University Ramat Gan 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and Gynecology Mayanei HaYeshua Medical Center Bnei Brak Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Gold","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"},{"name":"Department of Obstetrics and Gynecology Tel Aviv Sourasky Medical Center Lis Maternity Hospital Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Goldschmidt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bnei Zion Medical Center Rappaport Faculty of Medicine Technion Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Gordon","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"},{"name":"Department of Obstetrics and Gynecology Tel Aviv Sourasky Medical Center Lis Maternity Hospital Tel Aviv 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