Perineal trauma following vaginal delivery

Author(s): K. Brandie & A. MacKenzie - Pages: 40–55

Abstract

Over 85% of women who give birth vaginally sustain some form of perineal trauma and 60–70% receive stitches. This study investigated the incidence and extent of perineal trauma with respect to a variety of risk factors within the Maternity Unit of Raigmore Hospital, NHS Highland, Inverness, UK, over a 3-week period. The authors also examined utilization of the treatments available within the Maternity Unit by medical staff and midwives, and attempted to establish whether up-to-date written patient information would be of value within the unit. Questionnaires and an audit form were used to gather information. Information was obtained for 74 of the 90 women who had vaginal deliveries during the study period. The results showed a questionnaire response rate of 42% and 31% for medical staff and midwives, respectively. It was found that treatment techniques such as pelvic floor muscle exercises, ice and advice regarding activities of daily living were not routinely given by all respondents. Because not all patients were seen by a physiotherapist postnatally, it was concluded that an up-to-date written patient information leaflet would be of value within the Maternity Unit at Raigmore Hospital.

Keywords: leaflet, perineal trauma, risk factors, treatment, vaginal delivery.