Abstract
Background:Third and fourth degree tear is a highly litigious procedure and associated with significant maternal morbidity. A survey was arranged to evaluate current practices among traineesAims & Objectives: The survey was established to evaluate the views and practices of middle grade obstetricians against the recommendations of the RCOG green top guideline. Methods:The obstetric specialist registrars in the North-West England were asked to complete a questionnaire in March 2007 on their current practices in managing a third and fourth degree tears Results: Most trainees reported practices that were in broad agreement with the RCOG guidance. One-third of the trainees had not attended a training course and similar proportion also admitted to not routinely giving adequate counselling to women about the long-term effects of the injuryConclusion: There is evidence that the majority followed recommendations of the guideline. There were areas of care where adherence to guidance could be improved to reflect their relevance in medico legal defence such as practitioners training and counselling
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