A discussion of some of the literature relating to history, repair and consequences of perineal trauma

Midwifery
J Draper, R Newell

Abstract

to review the key literature on perineal trauma, discussing the historical background, the materials and techniques used, the possible consequences of repair and assess midwives' current and potential contribution to perineal repair. the literature was identified using conventional search techniques: Midwifery Information Resource Service (MIDIRS) and the Cochrane Pregnancy and Childbirth Database. Keywords used during the search were: episiotomy, perineal trauma and adverse effects. Associated keywords words were sexuality, pain and psychology. current practice in the UK is inconsistent with the available evidence, perineal trauma can cause long term problems, and midwives are in an ideal position to take forward evidence-based perineal repair. midwives need adequate education and training in perineal repair but are likely to be more effective in performing the repair. Systematic evaluation of the impact of extending midwives' influence in this area is essential.

References

Dec 1, 1991·British Journal of Obstetrics and Gynaecology·C MacArthurE G Knox
Jan 1, 1991·Archives of Disease in Childhood·P M Dunn
Nov 1, 1990·Journal of Internal Medicine·G M Reaven, A Laws
Nov 1, 1989·British Journal of Obstetrics and Gynaecology·J GardosiC B-Lynch
May 1, 1986·British Journal of Obstetrics and Gynaecology·A Grant
Sep 26, 1987·British Medical Journal·J Sleep, A Grant
Apr 1, 1987·British Journal of Obstetrics and Gynaecology·G Q Khan, R J Lilford
Sep 8, 1984·British Medical Journal·J SleepI Chalmers
Jun 1, 1995·Birth·M W EnkinJ P Neilson
Feb 1, 1993·Journal of Advanced Nursing·A M Thomson

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Citations

Apr 6, 2000·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·L C Callister, D Hobbins-Garbett

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