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- Title
Testing a tool to assess perineal trauma.
- Authors
Ullman, Rosina M.; Yiannouzis, Katie; Gomme, Clare C.
- Abstract
There is a need for an objective method of assessing perineal trauma. This would improve documentation and help clinicians decide whether or not a perineal tear should be sutured. This article describes the evaluation of a perineal assessment tool involving a convenience sample of 52 double assessments of postnatal perineal trauma. Comments made during and after the assessment showed midwives generally found the tool easy to understand and use. However, whilst inter-rater reliability in terms of concordance for each of the 6 components of the assessment tool was good (ranging from 68% to 96%), Cohen's Kappa for each set of scores was showed only low or fair levels of agreement (values for Kappa ranged from 0.081 to 0.559). One of the main reasons for these low scores was the limited range of trauma used to test the assessment tool. Further work is planned to carry out standardized reliability testing of the tool using a wider range of trauma.
- Subjects
POSTNATAL care; PERINEUM rupture; SUTURING; PERINEUM surgery; MIDWIVES; HEALTH risk assessment; MATERNAL health services
- Publication
British Journal of Midwifery, 2004, Vol 12, Issue 2, p93
- ISSN
0969-4900
- Publication type
Article
- DOI
10.12968/bjom.2004.12.2.12028