{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T19:15:15Z","timestamp":1781291715360,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,2,15]],"date-time":"2017-02-15T00:00:00Z","timestamp":1487116800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Our aim was to study whether midwife experience affects the rate of severe perineal tears (3rd and 4th degree).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study of all women with term vertex singleton pregnancies, who underwent normal vaginal deliveries, in a single tertiary hospital, between 2011 and 2015, was performed. Exclusion criteria were instrumental deliveries and stillbirth. All midwives used a \u201chands on\u201d technique for protecting the perineum. The midwife experience at each delivery was calculated as the time interval between her first delivery and current delivery. A comparison was performed between deliveries in which midwife experience was less than 2\u00a0years (inexperienced), between 2 and 10\u00a0years (moderately experienced), and more than 10\u00a0years (highly experienced). A multivariate regression analysis was performed to assess the association between midwife experience and the incidence of severe perineal tears, after controlling for confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 15\u00a0146 deliveries were included. Severe perineal tears were diagnosed in 51 (0.33%) deliveries. Women delivered by inexperienced midwives had a higher rate of severe perineal tears compared with women delivered by highly experienced midwives (0.5% vs 0.2%, respectively, <jats:italic>P<\/jats:italic>=.024). On multivariate regression analysis, midwife experience was independently associated with a lower rate of severe perineal tears, after controlling for confounding factors. Each additional year of experience was associated with a 4.7% decrease in the risk of severe perineal tears (adjusted <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.95 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.91\u20130.99, <jats:italic>P<\/jats:italic>=.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>More experienced midwives had a lower rate of severe perineal tears, and may be preferred for managing deliveries of women at high risk for such tears.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12278","type":"journal-article","created":{"date-parts":[[2017,2,15]],"date-time":"2017-02-15T09:16:43Z","timestamp":1487150203000},"page":"161-166","source":"Crossref","is-referenced-by-count":23,"title":["Does midwife experience affect the rate of severe perineal tears?"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2533-6972","authenticated-orcid":false,"given":"Yossi","family":"Mizrachi","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Edith Wolfson Medical Center, Holon, and Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Leytes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Edith Wolfson Medical Center, Holon, and Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Levy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Edith Wolfson Medical Center, Holon, and Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zvia","family":"Hiaev","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Edith Wolfson Medical Center, Holon, and Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2995-7194","authenticated-orcid":false,"given":"Shimon","family":"Ginath","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; 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