Draper J, Newell R
Midwifery. 1996 Sep;12(3):140-5. doi: 10.1016/s0266-6138(96)90058-3.
to review the key literature on perineal trauma, discussing the historical background, the materials and techniques used, the possible consequences of repair and assess midwives' current and potential contribution to perineal repair.
the literature was identified using conventional search techniques: Midwifery Information Resource Service (MIDIRS) and the Cochrane Pregnancy and Childbirth Database. Keywords used during the search were: episiotomy, perineal trauma and adverse effects. Associated keywords words were sexuality, pain and psychology.
current practice in the UK is inconsistent with the available evidence, perineal trauma can cause long term problems, and midwives are in an ideal position to take forward evidence-based perineal repair.
midwives need adequate education and training in perineal repair but are likely to be more effective in performing the repair. Systematic evaluation of the impact of extending midwives' influence in this area is essential.
回顾会阴创伤的关键文献，讨论其历史背景、所使用的材料和技术、修复可能产生的后果，并评估助产士目前及潜在的会阴修复贡献。
采用传统检索技术确定文献：助产信息资源服务（MIDIRS）和考克兰妊娠与分娩数据库。检索过程中使用的关键词为：会阴切开术、会阴创伤及不良反应。相关关键词为性、疼痛和心理。
英国目前的做法与现有证据不一致，会阴创伤会导致长期问题，助产士处于推进循证会阴修复的理想位置。
助产士需要接受会阴修复方面的充分教育和培训，但在进行修复时可能会更有效。系统评估扩大助产士在该领域影响力的影响至关重要。
