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#602

Promoting uptake of preventative measures in Obstetric Anal Sphincter Injuries McBride K1 1. Sandwell and West Birmingham Hospitals KEYWORDS: Pelvic Floor, Prevention, Female, Anal Incontinence From 2000 to 2012, the rate of obstetric anal sphincter injuries (OASIS) in England tripled from 1.8% to 5.9%, in primiparous women (1). The Royal College of Obstetricians and Gynaecologists guidelines state that mediolateral episiotomy in instrumental deliveries (where indicated); manual perineal protection at crowning and warm compression in the second stage can prevent OASIS. Additionally, all women delivering vaginally should have a digital rectal examination (DRE- female) to identify isolated, rectal buttonhole tears (2). In response to rates rising nationally, a prospective, observational audit of 41 deliveries was completed at our Trust in 2016 to identify areas where practice could be improved. This audit highlighted low rates of manual perineal protection and DRE- female post-delivery by midwives. In 2017, the Trust commenced 'PRactical Obstetric Multi-Professional Training' to increase OASIS preventative measures, amongst other Obstetrics emergencies and outcomes. To establish if this training had improved practice, a re-audit was completed in 2019. The aim of this audit was to assess changes in practice and areas where OASIS preventative measures can be implemented. Read the full abstract text here: https://www.ics.org/2020/abstract/602