{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T16:22:58Z","timestamp":1759422178275},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,12,24]],"date-time":"2010-12-24T00:00:00Z","timestamp":1293148800000},"content-version":"vor","delay-in-days":721,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2009,1,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>From recalled childbirth cases, a series of cues and related factors were previously identified that were used by midwives when making decisions to suture or not suture perineal and associated trauma incurred during spontaneous vaginal delivery. This study aimed to determine the validity of these cues and related factors. A panel of 18 experienced midwives evaluated their content validity using the criteria of \u201cnecessity\u201d and \u201csufficiency.\u201d The two main cue categories\u2014\u201cbleeding\u201d and \u201cbirth trauma\u201d\u2014were considered by 18 (100%) of the panel members to be necessary to assess. At least 16 (89%) panel members considered the following specific cues necessary to assess: in the bleeding category\u2014type, flow, amount, and effect of application of pressure or ice; in the birth trauma category\u2014trauma sites, trauma types, dimensions of trauma, types of tissue, alignment of tissue, edema, and bruising. Seventeen (94%) panel members considered seven woman\u2010centred related factors that were necessary to assess and 14 (78%) considered the combination of all cues in bleeding, birth trauma, and related factors sufficient for making the decision to suture or not. The availability of these validated cues and related factors has the potential to guide a comprehensive assessment on which the decision to suture or not suture depends. This addition to the domain of midwifery knowledge enables educational preparation of midwives who will have the capacity to more adequately support women in childbirth.<\/jats:p>","DOI":"10.1016\/j.jmwh.2008.05.010","type":"journal-article","created":{"date-parts":[[2008,12,28]],"date-time":"2008-12-28T09:59:29Z","timestamp":1230458369000},"page":"65-72","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Clinical Decision\u2010Making for Repair of Spontaneous Childbirth Trauma: Validation of Cues and Related Factors"],"prefix":"10.1111","volume":"54","author":[{"given":"Jane M.","family":"Cioffi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Arundell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Swain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536x.1999.00011.x"},{"key":"e_1_2_7_3_2","unstructured":"KettleC.Perineal care. Available from:www.clinicalevidence.bmj.comcewebconditionspac14011401_keypoints.jsp. [Accessed April 21 2008]."},{"key":"e_1_2_7_4_2","first-page":"18","article-title":"NSW Department of Health. New South Wales Mothers and Babies 2005","author":"Centre for Epidemiology and Research","year":"2007","journal-title":"N S W Publ Health Bull"},{"key":"e_1_2_7_5_2","first-page":"444","volume-title":"Midwifery preparation for practice","author":"Hendy S.","year":"2006"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.curobgyn.2004.06.003"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/135626229900500601"},{"key":"e_1_2_7_8_2","unstructured":"Royal College of Obstetricians and Gynaecologists.The management of third\u2010 and fourth\u2010degree perineal tears. Green\u2010top guideline No. 29 March 2007. Available from:www.rcog.org.ukresourcesPublicpdfgreen_top29_management_third.pdf. 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