Hi Sandra,
Have at look at all the research work done by Chris Kettle at Keele
University and Dr Sultan Gynae/Obstertician at Croydon Hospital. They
have both published extensively in the British Medical Journal in the
early- mid 2000's.
Also Alison Metcalf, Sue Tohill & co researchers has also published her
research on the use of a specially designed ruler to measure perineal
tears to make a more accurate assessment/ differentiation of the
perineal trauma.
http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=8c31f9e0-041b-406
b-bd05-115ab9132864%40sessionmgr11&vid=16&hid=12
Rosina Ullman et al had trialled a perineal trauma assessment tool
published in the British Journal of midwifery in 2004. Link-
http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=6&hid=12&sid=8c31
f9e0-041b-406b-bd05-115ab9132864%40sessionmgr11
The PEARL study is also worth looking at for long term effects:
http://wk6kg9sd8m.search.serialssolutions.com/?genre=article&title=BMC+P
regnancy+And+Childbirth&atitle=PErineal+Assessment+and+Repair+Longitudin
al+Study+(PEARLS)%3a+protocol+for+a+matched+pair+cluster+trial.&author=B
ick+DE&authors=Bick+DE%3bKettle+C%3bMacdonald+S%3bThomas+PW%3bHills+RK%3
bIsmail+KM&date=20100225&volume=10&issue=&spage=10&issn=14712393
You can always go back to the audit work done by Christine McArthur in
her book Health after childbirth published back in 1991
Regards,
Pak Hung
Senior Lecturer Midwifery
Supervisors of Midwives
University of Wolverhampton
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health
research. [mailto:[log in to unmask]] On Behalf Of Ebanks
Sandra
Sent: 17 April 2011 10:08
To: [log in to unmask]
Subject: Missed Third Degree tears
Dear All,
I am on the search for any evidence on the 'effects of poor assessment
of the perineum' by midwives. For example if a midwife has documented
that a 1st degree tear was sustained at delivery, and then several
months later is having difficulty with bowel motions. Could this have
been a third degree tear that was missed?
Your information regarding this area of complexity will be very
welcomed.
Sandra
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