What are the views of midwives in relation to perineal repair?

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dc.contributor.author Dahlen, HG
dc.contributor.author Homer, CSE
dc.date.accessioned 2010-07-15T07:27:49Z
dc.date.issued 2008-03
dc.identifier.citation Women and Birth, 2008, 21 (1), pp. 27 - 35
dc.identifier.issn 1871-5192
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/12866
dc.description.abstract Purpose: To determine the views of midwives towards perineal repair and the most effective way to teach and support midwives in developing this skill. Procedure: A questionnaire was distributed to 111 midwives who attended a 1-day seminar. Information was sought on a range of views relating to perineal repair, including experience, confidence, education and accreditation, attitudes and trends. Findings: One hundred and six (96%) questionnaires were returned. All respondents (100%) believed midwives should be taught to undertake perineal repair. The most important reason was to provide continuity of care for women. Experience increased confidence and enjoyment in undertaking perineal repair as well as lessening fears over the impact of suturing on women. Experience did not significantly impact on concerns regarding legal implications associated with perineal repair. Three quarters of respondents reported that midwifery students should have practical experience of perineal repair. There was strong support for doctors and midwives to undertake perineal repair education together (96%), preferably in a 1-day workshop format (56%); for standards to be set by the professional colleges (midwifery and obstetrics) (66%); for midwives and doctors to be accredited as competent before performing perineal repair independently (>90%) and for regular updates in perineal repair (93%). The majority of midwives (73%) felt that they were more likely to suture than 5 years ago, due mainly to a greater appreciation of woman centred care (35%). Over 60% of midwives said they would not suture a first-degree tear more than half of the time and 13% would not suture a second-degree tear more than half of the time. Principle conclusion: A desire to provide continuity of care appears to be a major motivator for midwives to learn to undertake perineal repair. There is need for standards to be set for perineal repair to encourage consistency in education. Perineal repair programs that involve midwives and doctors training together have strong support from midwives but it is unclear if doctors would also support this. Further research is needed to support or refute the trend for midwives to not suture some perineal trauma. Crown Copyright © 2008.
dc.language eng
dc.relation.isbasedon 10.1016/j.wombi.2007.12.003
dc.title What are the views of midwives in relation to perineal repair?
dc.type Journal Article
dc.description.version Published
dc.parent Women and Birth
dc.journal.volume 1
dc.journal.volume 21
dc.journal.number 1 en_US
dc.publocation Australia en_US
dc.identifier.startpage 27 en_US
dc.identifier.endpage 36 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1110 Nursing
dc.personcode 044710
dc.personcode 995146
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords First degree tear
dc.description.keywords Midwives
dc.description.keywords Perineal repair
dc.description.keywords Perineal trauma
dc.description.keywords Second degree tear
dc.description.keywords Suture
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Closed (ID: 3)

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