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    A tool for assessing perineal trauma

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    Authors
    Steen, Mary
    Cooper, Keith
    Affiliation
    Leeds Teaching Hospitals NHS Trust/Leeds Metropolitan University
    Publication Date
    1997-10-02
    
    Metadata
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    Abstract
    The initial aim of this study was to develop a reliable visual tool to assist in the assessment of the severity of oedema and bruising in perineal trauma, using a categorical scale of `none', `mild', `moderate' and `severe'. A standardised set of photographs was selected by 10 clinically experienced midwives to represent these categories. The tool was tested in a clinical trial involving 77 women, recording and monitoring changes in the level of oedema and bruising during the first 48 hours following suturing of an episiotomy. The results demonstrated a statistically significant change for both oedema and bruising. However, the less experienced assessors reported some uncertainties in assessing a small proportion of women. A combined method, using this tool with a categorical scoring scale, was used to minimise difficulties in the assessment. Two pairs of midwives, one pair very experienced in assessing perineal trauma and the other less experienced, evaluated the combined method. The results showed a high level of agreement. The standard set of photographs and categorical scoring scale together resulted in a reliable and sensitive assessment tool to evaluate severity of perineal trauma.
    Citation
    Journal of Wound Care, 1997, 6(9), pp 432-436.
    Publisher
    Macmillan Magazines
    Journal
    Journal of Wound Care
    URI
    http://hdl.handle.net/10034/49220
    Additional Links
    http://www.journalofwoundcare.com/
    Type
    Article
    Language
    en
    Description
    This article is not available through ChesterRep.
    ISSN
    0969-0700
    Collections
    Health and Social Care

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