What is it about?
Manual perineum support technique/the "Finnish grip" at the end of second stage of labor, has proved its efficacy in reducing the rate of severe perineal injuries (obstetric anal sphincter injuries) during vaginal delivery. Those injuries are the most important risk factor for female anal incontinence ( the involuntary loss of feces and or gases). We developed a video of animated instructions illustrating the perineum support technique. The animation is planned to be integrated as an alternative technology-based training model for birth attendants . Therefore, we performed an online survey among obstetricians, experts in perineal trauma field and midwives to ask them about their opinions of the animation, and to explore if the quality and the main objective of the animation video will be accepted by the potential users.
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Why is it important?
Technology is increasingly playing an important role in medical education. It promotes an even spread of the updated and evidence-based clinical practice. The distant animation-based training tool can be used by birth attendants anywhere, including remote and rural areas with restricted resources. This in turn will help reduce the rate of obstetric anal sphincter injuries and its detrimental complications, globally.
Perspectives
I strongly recommend preventive interventions to reduce the rate of obstetric anal sphincter injuries. Manual perineum support (the Finnish grip) during childbirth is promising. However, it is somehow different from other traditional perineum support techniques used by most birth attendants outside Scandinavia. Therefore, for birth attendants to use it they will need to be trained until they become keen on it. The traditional training method is money and time consuming. Most low-income countries can not afford for that. Using the distant animation video, however, is a feasible alternative learning resource. Smart phones and other portable devices are accessible and available almost everywhere.
Dr Hadil Had Ali
University of Oslo
Read the Original
This page is a summary of: Evaluation of an animated instructional video as a training tool for manual perineum support during vaginal delivery, International Journal of Gynecology & Obstetrics, February 2017, Wiley,
DOI: 10.1002/ijgo.12115.
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