Obstetric Perineal Rupture Clinical Trial
Official title:
Diagnosing Perineal Tears. Consistency in Midwifes Clinical Judgement When Assessing Perineal Tears Using Two Different Assessment Methods.
This study aims to compare different midwife practitioners assessments of perineal tears.
Perineal injuries are one of the traumas most frequently suffered by women during
delivery.Countries report wide variations in trauma rates, and within countries further
variations exists among institutions and also among professional groups of caregivers.Visual
and digital examination of the wound has been and is the most common way to assess and
classify a perineal tear. However resent studies indicate that many tears diagnosed with
this method are misclassified.The suggested reasons for this, apart from the fact that
bleeding and tissue oedema make the diagnose difficult, is that many healthcare providers
have too little training in perineal assessment and basic anatomy.
In this prospective randomised trial consenting women will be randomised in to the common
visual and digital assessment of the perineal tear by to different midwives, blinded to each
others assessment or visual and digital assessment and measuring of the tear with a small
soft ruler, Peri-Rule also by two different midwives.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic