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- W2167647568 abstract "Perineal trauma following childbirth affects around 70% of women (Greenshields and Hulme, 1993). The two main sources of trauma are due equally to either episiotomy (surgical incision of the perineum) or to a spontaneously occurring tear. Perineal tears vary in size and are graded from first degree (the most minor) to fourth degree (most severe). First, third and fourth degree tears are all clearly defined by the anatomical structures involved and clearly describe the extent of the trauma incurred. However, second-degree tears can vary widely in size and are often given the subjective descriptions of small, medium and large. Approximately 25–35% of all childbearing women sustain a second-degree perineal tear during childbirth but research and audit of the most appropriate aftercare for the wound has been restricted by the inability to provide a more objective measurement of second-degree tears. The Birmingham Perineal Research Evaluation Group has developed a tool to provide an objective measurement of second-degree tears. This paper describes the development of the tool and its validation that showed substantial levels of agreement between two midwives measuring the depth and length of perineal tears (n=130). The assessment tool does not cause any distress to the woman and is quick and easy to use, which should assist its use and uptake by clinically-based midwives. The use of this tool will provide the first objective method of assessing second-degree perineal tears that can be used in clinical practice to assist education, research and audit." @default.
- W2167647568 created "2016-06-24" @default.
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- W2167647568 date "2002-07-01" @default.
- W2167647568 modified "2023-09-26" @default.
- W2167647568 title "A pragmatic tool for the measurement of perineal tears" @default.
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- W2167647568 doi "https://doi.org/10.12968/bjom.2002.10.7.10582" @default.
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