evaluate the impact of a care bundle (antenatal information to women, manual perineal protection and mediolateral episiotomy when indicated) on obstetric anal sphincter injury (OASI) rates: Obstetrics and Gynaecology Research Paper, QEUH, UK

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Objective
To evaluate the impact of a care bundle (antenatal information to women, manual perineal protection, and mediolateral episiotomy when indicated) on obstetric anal sphincter injury (OASI) rates.

Design
Multicentre stepped-wedge cluster design.

Setting Sixteen maternity units located in four regions across England, Scotland, and Wales.Objective

To evaluate the impact of a care bundle (antenatal information to women, manual perineal protection, and mediolateral episiotomy when indicated) on obstetric anal sphincter injury (OASI) rates.

Design
Multicentre stepped-wedge cluster design.

Setting Sixteen maternity units located in four regions across England, Scotland, and Wales.