{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T21:11:15Z","timestamp":1792444275249,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Perineal assessment and repair are fundamental to providing quality obstetric and midwifery care to women. Up to 80% of women sustain perineal trauma during vaginal delivery, and 70% require repair. This study aimed to establish baseline perineal anatomy knowledge, training exposure, and experience, and to assess whether ongoing training is needed to strengthen perineal repair education and skills.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a prospective multicenter observational study. Obstetricians and midwives actively involved in perineal repair were recruited in three maternity units between April and July 2024. A pre\u2010survey was completed. A teaching intervention was delivered to participants. After the teaching intervention, a post\u2010survey was completed. The sample size was appropriately powered and the data were analyzed accordingly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 89 clinicians completed the pre\u2010survey, and 72 attended the training initiative and completed the post\u2010survey. A total of 84.3% of clinicians had prior training in assessing perineal injury, and 83.1% had some form of practical training in perineal repair. Only 75.3% had received training on assessing for obstetric anal sphincter injury. A total of 88.8% of clinicians felt confident performing an episiotomy, and only 69.7% felt confident in repairing an episiotomy. After the teaching intervention, the post\u2010survey responses highlighted significant improvement in anatomical knowledge among clinicians conducting perineal repair (<jats:italic>P<\/jats:italic>\u2009=\u20090.0078).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ongoing learning is necessary for clinicians who are actively completing perineal repair. It results in increased knowledge, which should impact the quality of care for women requiring perineal repair.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.70130","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T11:17:12Z","timestamp":1744370232000},"page":"1284-1292","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Optimizing and enhancing perineal repair knowledge and teaching among obstetricians and midwives: A prospective three\u2010site study"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0284-8043","authenticated-orcid":false,"given":"F\u00e1timah","family":"Alaya","sequence":"first","affiliation":[{"name":"The Rotunda Hospital  Dublin 1 Ireland"},{"name":"Our Lady of Lourdes Hospital  Drogheda Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7417-1844","authenticated-orcid":false,"given":"Amy P.","family":"Worrall","sequence":"additional","affiliation":[{"name":"The Coombe Hospital  Dublin 8 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Farah","sequence":"additional","affiliation":[{"name":"The Coombe Hospital  Dublin 8 Ireland"},{"name":"University College Dublin  Dublin 4 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5100-1981","authenticated-orcid":false,"given":"Maeve","family":"Eogan","sequence":"additional","affiliation":[{"name":"The Rotunda Hospital  Dublin 1 Ireland"},{"name":"Royal College of Surgeons Ireland  Dublin\u00a02 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5353-1751","authenticated-orcid":false,"given":"Cathy","family":"Monteith","sequence":"additional","affiliation":[{"name":"Our Lady of Lourdes Hospital  Drogheda Ireland"},{"name":"Royal College of Surgeons Ireland  Dublin\u00a02 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadi","family":"Salameh","sequence":"additional","affiliation":[{"name":"The Rotunda Hospital  Dublin 1 Ireland"},{"name":"Royal College of Surgeons Ireland  Dublin\u00a02 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0001-6349.2001.10182.x"},{"key":"e_1_2_10_3_1","first-page":"1401","article-title":"Perineal care","volume":"9","author":"Kettle C","year":"2008","journal-title":"BMJ Clin Evid"},{"key":"e_1_2_10_4_1","unstructured":"Royal College of Obstetricians and Gynaecologists.Management of third and fourth degree perineal tears. 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