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Detailed classification of second‐degree perineal tears in the delivery ward: an inter‐rater agreement study

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Second‐degree perineal tears can vary widely as to the extent of trauma, which may be relevant for women's pelvic floor health postpartum. However, the short‐ and long‐term consequences of second‐degree… Click to show full abstract

Second‐degree perineal tears can vary widely as to the extent of trauma, which may be relevant for women's pelvic floor health postpartum. However, the short‐ and long‐term consequences of second‐degree perineal tears are poorly understood, likely due to the lack of a detailed classification system. Such a classification system for second‐degree tears has been suggested but the inter‐rater agreement has not yet been assessed. The aim of this study was to assess the inter‐rater agreement of the already established classification system for perineal tears recommended by the Royal College of Obstetricians and Gynaecologists (RCOG classification) among midwives. Further, we aimed to assess the inter‐rater agreement of a classification system that provides three sub‐categories for second‐degree perineal tears.

Keywords: perineal tears; second degree; rater agreement; classification; degree perineal; inter rater

Journal Title: Acta Obstetricia et Gynecologica Scandinavica
Year Published: 2022

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