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Ashish Pradhan - One of the best experts on this subject based on the ideXlab platform.
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Comparative study of episiotomy angles achieved by cutting with straight Mayo Scissors and the EPIScissors-60 in a birth simulation model
International Urogynecology Journal, 2017Co-Authors: Yves Roon, Latha Vinayakarao, Louise Melson, Rebecca Percival, Sangeeta Pathak, Ashish PradhanAbstract:Introduction and hypothesis We compared the clinician’s ability to cut episiotomies at the recommended 60° angle with traditional straight Mayo Scissors compared with patented fixed-angle episiotomy Scissors EPIScissors-60® in a simulated setting using mounted incision pads. The hypothesis was that fixed-angle episiotomies would achieve a more accurate cutting angle of 60°. Methods Angles were cut on episiotomy incision pads in a mounted birth model simulating crowning: 110 midwives and doctors cut an 60° episiotomy with Mayo Scissors and then EPIScissors-60. Angles were measured with protractors. Average angles were calculated and the one-tailed paired t test was used to compare groups. Results Mean angle was 45° with Mayo Scissors [ SD = 9, 95% confidence interval (CI) = 43.3–46.7, interquartile range (IQR) 38–50] and 60° with the EPIScissors-60 ( SD = 3, 95% CI = 59.3–60.7, IQR = 58–60). Two-thirds of cuts with Mayo Scissors were below 50°. Conclusions In a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60° angle with Mayo Scissors. The EPIScissors-60 cut an episiotomy a statistically significant 15° wider than regular Mayo Scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-angle Scissors or through validated health professional training programmes to improve visual accuracy.
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Comparative study of episiotomy angles achieved by cutting with straight Mayo Scissors and the EPIScissors-60 in a birth simulation model.
International urogynecology journal, 2016Co-Authors: Yves Van Roon, Latha Vinayakarao, Louise Melson, Rebecca Percival, Sangeeta Pathak, Ashish PradhanAbstract:We compared the clinician’s ability to cut episiotomies at the recommended 60° angle with traditional straight Mayo Scissors compared with patented fixed-angle episiotomy Scissors EPIScissors-60® in a simulated setting using mounted incision pads. The hypothesis was that fixed-angle episiotomies would achieve a more accurate cutting angle of 60°. Angles were cut on episiotomy incision pads in a mounted birth model simulating crowning: 110 midwives and doctors cut an 60° episiotomy with Mayo Scissors and then EPIScissors-60. Angles were measured with protractors. Average angles were calculated and the one-tailed paired t test was used to compare groups. Mean angle was 45° with Mayo Scissors [SD = 9, 95% confidence interval (CI) = 43.3–46.7, interquartile range (IQR) 38–50] and 60° with the EPIScissors-60 (SD = 3, 95% CI = 59.3–60.7, IQR = 58–60). Two-thirds of cuts with Mayo Scissors were below 50°. In a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60° angle with Mayo Scissors. The EPIScissors-60 cut an episiotomy a statistically significant 15° wider than regular Mayo Scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-angle Scissors or through validated health professional training programmes to improve visual accuracy.
Rebecca Percival - One of the best experts on this subject based on the ideXlab platform.
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Comparative study of episiotomy angles achieved by cutting with straight Mayo Scissors and the EPIScissors-60 in a birth simulation model
International Urogynecology Journal, 2017Co-Authors: Yves Roon, Latha Vinayakarao, Louise Melson, Rebecca Percival, Sangeeta Pathak, Ashish PradhanAbstract:Introduction and hypothesis We compared the clinician’s ability to cut episiotomies at the recommended 60° angle with traditional straight Mayo Scissors compared with patented fixed-angle episiotomy Scissors EPIScissors-60® in a simulated setting using mounted incision pads. The hypothesis was that fixed-angle episiotomies would achieve a more accurate cutting angle of 60°. Methods Angles were cut on episiotomy incision pads in a mounted birth model simulating crowning: 110 midwives and doctors cut an 60° episiotomy with Mayo Scissors and then EPIScissors-60. Angles were measured with protractors. Average angles were calculated and the one-tailed paired t test was used to compare groups. Results Mean angle was 45° with Mayo Scissors [ SD = 9, 95% confidence interval (CI) = 43.3–46.7, interquartile range (IQR) 38–50] and 60° with the EPIScissors-60 ( SD = 3, 95% CI = 59.3–60.7, IQR = 58–60). Two-thirds of cuts with Mayo Scissors were below 50°. Conclusions In a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60° angle with Mayo Scissors. The EPIScissors-60 cut an episiotomy a statistically significant 15° wider than regular Mayo Scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-angle Scissors or through validated health professional training programmes to improve visual accuracy.
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Comparative study of episiotomy angles achieved by cutting with straight Mayo Scissors and the EPIScissors-60 in a birth simulation model.
International urogynecology journal, 2016Co-Authors: Yves Van Roon, Latha Vinayakarao, Louise Melson, Rebecca Percival, Sangeeta Pathak, Ashish PradhanAbstract:We compared the clinician’s ability to cut episiotomies at the recommended 60° angle with traditional straight Mayo Scissors compared with patented fixed-angle episiotomy Scissors EPIScissors-60® in a simulated setting using mounted incision pads. The hypothesis was that fixed-angle episiotomies would achieve a more accurate cutting angle of 60°. Angles were cut on episiotomy incision pads in a mounted birth model simulating crowning: 110 midwives and doctors cut an 60° episiotomy with Mayo Scissors and then EPIScissors-60. Angles were measured with protractors. Average angles were calculated and the one-tailed paired t test was used to compare groups. Mean angle was 45° with Mayo Scissors [SD = 9, 95% confidence interval (CI) = 43.3–46.7, interquartile range (IQR) 38–50] and 60° with the EPIScissors-60 (SD = 3, 95% CI = 59.3–60.7, IQR = 58–60). Two-thirds of cuts with Mayo Scissors were below 50°. In a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60° angle with Mayo Scissors. The EPIScissors-60 cut an episiotomy a statistically significant 15° wider than regular Mayo Scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-angle Scissors or through validated health professional training programmes to improve visual accuracy.
Sangeeta Pathak - One of the best experts on this subject based on the ideXlab platform.
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Comparative study of episiotomy angles achieved by cutting with straight Mayo Scissors and the EPIScissors-60 in a birth simulation model
International Urogynecology Journal, 2017Co-Authors: Yves Roon, Latha Vinayakarao, Louise Melson, Rebecca Percival, Sangeeta Pathak, Ashish PradhanAbstract:Introduction and hypothesis We compared the clinician’s ability to cut episiotomies at the recommended 60° angle with traditional straight Mayo Scissors compared with patented fixed-angle episiotomy Scissors EPIScissors-60® in a simulated setting using mounted incision pads. The hypothesis was that fixed-angle episiotomies would achieve a more accurate cutting angle of 60°. Methods Angles were cut on episiotomy incision pads in a mounted birth model simulating crowning: 110 midwives and doctors cut an 60° episiotomy with Mayo Scissors and then EPIScissors-60. Angles were measured with protractors. Average angles were calculated and the one-tailed paired t test was used to compare groups. Results Mean angle was 45° with Mayo Scissors [ SD = 9, 95% confidence interval (CI) = 43.3–46.7, interquartile range (IQR) 38–50] and 60° with the EPIScissors-60 ( SD = 3, 95% CI = 59.3–60.7, IQR = 58–60). Two-thirds of cuts with Mayo Scissors were below 50°. Conclusions In a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60° angle with Mayo Scissors. The EPIScissors-60 cut an episiotomy a statistically significant 15° wider than regular Mayo Scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-angle Scissors or through validated health professional training programmes to improve visual accuracy.
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Comparative study of episiotomy angles achieved by cutting with straight Mayo Scissors and the EPIScissors-60 in a birth simulation model.
International urogynecology journal, 2016Co-Authors: Yves Van Roon, Latha Vinayakarao, Louise Melson, Rebecca Percival, Sangeeta Pathak, Ashish PradhanAbstract:We compared the clinician’s ability to cut episiotomies at the recommended 60° angle with traditional straight Mayo Scissors compared with patented fixed-angle episiotomy Scissors EPIScissors-60® in a simulated setting using mounted incision pads. The hypothesis was that fixed-angle episiotomies would achieve a more accurate cutting angle of 60°. Angles were cut on episiotomy incision pads in a mounted birth model simulating crowning: 110 midwives and doctors cut an 60° episiotomy with Mayo Scissors and then EPIScissors-60. Angles were measured with protractors. Average angles were calculated and the one-tailed paired t test was used to compare groups. Mean angle was 45° with Mayo Scissors [SD = 9, 95% confidence interval (CI) = 43.3–46.7, interquartile range (IQR) 38–50] and 60° with the EPIScissors-60 (SD = 3, 95% CI = 59.3–60.7, IQR = 58–60). Two-thirds of cuts with Mayo Scissors were below 50°. In a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60° angle with Mayo Scissors. The EPIScissors-60 cut an episiotomy a statistically significant 15° wider than regular Mayo Scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-angle Scissors or through validated health professional training programmes to improve visual accuracy.
Latha Vinayakarao - One of the best experts on this subject based on the ideXlab platform.
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Comparative study of episiotomy angles achieved by cutting with straight Mayo Scissors and the EPIScissors-60 in a birth simulation model
International Urogynecology Journal, 2017Co-Authors: Yves Roon, Latha Vinayakarao, Louise Melson, Rebecca Percival, Sangeeta Pathak, Ashish PradhanAbstract:Introduction and hypothesis We compared the clinician’s ability to cut episiotomies at the recommended 60° angle with traditional straight Mayo Scissors compared with patented fixed-angle episiotomy Scissors EPIScissors-60® in a simulated setting using mounted incision pads. The hypothesis was that fixed-angle episiotomies would achieve a more accurate cutting angle of 60°. Methods Angles were cut on episiotomy incision pads in a mounted birth model simulating crowning: 110 midwives and doctors cut an 60° episiotomy with Mayo Scissors and then EPIScissors-60. Angles were measured with protractors. Average angles were calculated and the one-tailed paired t test was used to compare groups. Results Mean angle was 45° with Mayo Scissors [ SD = 9, 95% confidence interval (CI) = 43.3–46.7, interquartile range (IQR) 38–50] and 60° with the EPIScissors-60 ( SD = 3, 95% CI = 59.3–60.7, IQR = 58–60). Two-thirds of cuts with Mayo Scissors were below 50°. Conclusions In a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60° angle with Mayo Scissors. The EPIScissors-60 cut an episiotomy a statistically significant 15° wider than regular Mayo Scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-angle Scissors or through validated health professional training programmes to improve visual accuracy.
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Comparative study of episiotomy angles achieved by cutting with straight Mayo Scissors and the EPIScissors-60 in a birth simulation model.
International urogynecology journal, 2016Co-Authors: Yves Van Roon, Latha Vinayakarao, Louise Melson, Rebecca Percival, Sangeeta Pathak, Ashish PradhanAbstract:We compared the clinician’s ability to cut episiotomies at the recommended 60° angle with traditional straight Mayo Scissors compared with patented fixed-angle episiotomy Scissors EPIScissors-60® in a simulated setting using mounted incision pads. The hypothesis was that fixed-angle episiotomies would achieve a more accurate cutting angle of 60°. Angles were cut on episiotomy incision pads in a mounted birth model simulating crowning: 110 midwives and doctors cut an 60° episiotomy with Mayo Scissors and then EPIScissors-60. Angles were measured with protractors. Average angles were calculated and the one-tailed paired t test was used to compare groups. Mean angle was 45° with Mayo Scissors [SD = 9, 95% confidence interval (CI) = 43.3–46.7, interquartile range (IQR) 38–50] and 60° with the EPIScissors-60 (SD = 3, 95% CI = 59.3–60.7, IQR = 58–60). Two-thirds of cuts with Mayo Scissors were below 50°. In a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60° angle with Mayo Scissors. The EPIScissors-60 cut an episiotomy a statistically significant 15° wider than regular Mayo Scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-angle Scissors or through validated health professional training programmes to improve visual accuracy.
Louise Melson - One of the best experts on this subject based on the ideXlab platform.
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Comparative study of episiotomy angles achieved by cutting with straight Mayo Scissors and the EPIScissors-60 in a birth simulation model
International Urogynecology Journal, 2017Co-Authors: Yves Roon, Latha Vinayakarao, Louise Melson, Rebecca Percival, Sangeeta Pathak, Ashish PradhanAbstract:Introduction and hypothesis We compared the clinician’s ability to cut episiotomies at the recommended 60° angle with traditional straight Mayo Scissors compared with patented fixed-angle episiotomy Scissors EPIScissors-60® in a simulated setting using mounted incision pads. The hypothesis was that fixed-angle episiotomies would achieve a more accurate cutting angle of 60°. Methods Angles were cut on episiotomy incision pads in a mounted birth model simulating crowning: 110 midwives and doctors cut an 60° episiotomy with Mayo Scissors and then EPIScissors-60. Angles were measured with protractors. Average angles were calculated and the one-tailed paired t test was used to compare groups. Results Mean angle was 45° with Mayo Scissors [ SD = 9, 95% confidence interval (CI) = 43.3–46.7, interquartile range (IQR) 38–50] and 60° with the EPIScissors-60 ( SD = 3, 95% CI = 59.3–60.7, IQR = 58–60). Two-thirds of cuts with Mayo Scissors were below 50°. Conclusions In a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60° angle with Mayo Scissors. The EPIScissors-60 cut an episiotomy a statistically significant 15° wider than regular Mayo Scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-angle Scissors or through validated health professional training programmes to improve visual accuracy.
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Comparative study of episiotomy angles achieved by cutting with straight Mayo Scissors and the EPIScissors-60 in a birth simulation model.
International urogynecology journal, 2016Co-Authors: Yves Van Roon, Latha Vinayakarao, Louise Melson, Rebecca Percival, Sangeeta Pathak, Ashish PradhanAbstract:We compared the clinician’s ability to cut episiotomies at the recommended 60° angle with traditional straight Mayo Scissors compared with patented fixed-angle episiotomy Scissors EPIScissors-60® in a simulated setting using mounted incision pads. The hypothesis was that fixed-angle episiotomies would achieve a more accurate cutting angle of 60°. Angles were cut on episiotomy incision pads in a mounted birth model simulating crowning: 110 midwives and doctors cut an 60° episiotomy with Mayo Scissors and then EPIScissors-60. Angles were measured with protractors. Average angles were calculated and the one-tailed paired t test was used to compare groups. Mean angle was 45° with Mayo Scissors [SD = 9, 95% confidence interval (CI) = 43.3–46.7, interquartile range (IQR) 38–50] and 60° with the EPIScissors-60 (SD = 3, 95% CI = 59.3–60.7, IQR = 58–60). Two-thirds of cuts with Mayo Scissors were below 50°. In a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60° angle with Mayo Scissors. The EPIScissors-60 cut an episiotomy a statistically significant 15° wider than regular Mayo Scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-angle Scissors or through validated health professional training programmes to improve visual accuracy.