Table 2 Participants’ experience with third- and fourth-degree obstetric lacerations
Prevalence | |
|---|---|
Routinely perform rectal exams on all patients after delivery (n = 20) | 2 (10.0%) |
Perceive a good understanding of the muscles that can be damaged during delivery (n = 21) | 11 (52.4%) |
Previous training in perineal tear evaluation (n = 22) | 14 (63.6%) |
Previous training specifically in third- and fourth-degree tear evaluation (n = 22) | 4 (18.2%) |
Comfortable repairing a third- or fourth-degree tear (n = 22) | 0 (0.0%) |
Reported evaluation of tears after delivery was challenging (n = 22) | 20 (90.9%) |
Specific challenges to perineal evaluation following delivery (Open Response) | (n = 22) |
Staff shortage / workload | 13 (59.1%) |
Inadequate or broken supplies | 12 (54.5%) |
Deliveries occurring at night | 9 (40.9%) |
Inadequate light source | 8 (36.4%) |
Lack of pain control | 1 (4.5%) |
Distance in km to nearest referral center for complex repair (excluding providers based at a referral center) (n = 16) | 25.3 ± 10.8 |
Distance ≤ 10 km | 2 |
Distance 10-20 km | 2 |
Distance >20 km | 11 |
No response | 1 |
Participants with system to follow-up on patients who have been referred for repair (n = 20) | 12 (60.0%) |