ArticleInternational urogynecology journal2023
Diagnosis, management and training in perineal trauma: a UK national survey of obstetricians.
Article in International urogynecology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Bridging Gaps: Insights from a Rectal Buttonhole Tear Case Series.International urogynecology journal · 2026Article
- The Value of 3-Dimensional Anorectal Manometry in the Evaluation of Obstetric Anal Sphincter Injuries.Journal of neurogastroenterology and motility · 2025Article
- Strategies for improving maternal care for ethnic minority women with obstetric anal sphincter injuries in the UK.BMC health services research · 2025Article
- A UK wide survey of general surgeons' experience of the primary repair of obstetric anal sphincter injuries.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
- Midterm complications after primary obstetrical anal sphincter injury repair in France.BMC pregnancy and childbirth · 2024Article
- Family medicine physician identification of obstetric lacerations: a US national survey.International urogynecology journal · 2024Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisPerineal trauma during vaginal delivery is very common. Training in diagnosis and repair of trauma, including obstetric anal sphincter injuries, varies in the UK. We aimed to investigate the current knowledge and training received by obstetric physicians.
methodsA national, validated survey was conducted online, using Qualtrics. The National Trainees Committee distributed the survey. It was also sent directly to consultants via email.
resultsA total of 302 physicians completed the survey and were included in the analysis. 3.9% of participants described their training in obstetric perineal trauma as "very poor" or "poor". 20.5% said they have not received training. 8.6% of physicians practising for more than 10 years had not had training for over 10 years. 70.5% responded "somewhat agree" or "strongly agree" when asked if they would like more training. Identification of first, second, third-, and fourth-degree tears from images and descriptions was very good (more than 80% correct for all categories). Classification of other perineal trauma was less consistent, with many incorrectly using the Sultan Classification. "Manual perineal support" and "Controlled or guided delivery" were the most frequently selected methods for the prevention of obstetric anal sphincter injury (OASI).
conclusionsTraining experience for physicians in obstetric perineal trauma varies. Further improvement in training and education in perineal trauma, particularly in OASI, is needed for physicians. Perineal trauma that is not included in the Sultan Classification is often misclassified.
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