Hi all
A small group of us (including Chris Kettle and Alison
Metcalfe) got together a few years ago to work up a grant application for a
trial investigating ways to improve midwives
Our own work on perineal suturing
appeared to indicate poor assessment of the perineum at childbirth (Langley et
al BJM 14(9), 550-554, 2006) but, not being a clinician, I’ve no idea
whether this is still a live issue. If it is, I’d be delighted to
coordinate an NIHR application to look at ways assessment could be improved.
Any thoughts welcome – thanks.
Bw
a.
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research.
[mailto:[log in to unmask]] On Behalf Of Hung, Pak Y
Sent: 18 April 2011 10:18
To: [log in to unmask]
Subject: Re: Missed Third Degree tears
Hi Sandra,
Have at look at all the research work done by Chris
Kettle at Keele
University and Dr Sultan Gynae/Obstertician at
have both published extensively in the British Medical
Journal in the
early- mid 2000
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
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
-----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
Subject: Missed Third Degree tears
Dear All,
I am on the search for any evidence on the
of the perineum
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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