FoI Number
2025-060
Subject
Perineal Tears
Date Received
22/04/2025
Request and Response

Name of Hospital / Unit

NHS Shetland

Address

Gilbert Bain Hospital

Lerwick

ZE1 0TB

 

Total

Primiparous

Multiparous

Don’t Know

All Births

93

 

 

 

Vaginal deliveries

53

14

18

 

Forceps deliveries

<5

<5

<5

 

Ventouse deliveries

<5

<5

 

 

Failed ventouse → Forceps deliveries

0

 

 

 

Caesarean Section

36

12

24

 

Elective caesarean section

17

 

 

 

 

Emergency caesarean Section

19

 

 

 

Second degree tears

13

 

 

 

Sutured second degree tears

7

 

 

 

Episiotomies

<5

 

 

 

Third degree tears

<5

 

 

 

3a

 

 

 

 

3b

<5

 

 

 

3c

 

 

 

 

Fourth degree tears

0

 

 

 

Rectal buttonhole tear

 

 

 

 

Type of Hospital/Unit?

(please X or ✓)

Free-standing Midwifery Unit

Alongside Midwifery Unit

Obstetrician Led Labour Ward

State Other: Combined facility

 

X

X

X

 

How are third- and fourth-degree tears classified for data collection? (please X or ✓)

3rd degree tears

3rd & 4th degree tears separately

Grade 3a, 3b, 3c, 4th degree

Don’t know

 

 

X

ü

 

 

Do you have a designated perineal clinic

 

No

 

 

If yes, is it (please X or ✓)

Midwifery led

Obstetrician led

State Other:

 

Please kindly provide names of perineal clinic leads and designation

Name:

Contact Address

Email:

Not applicable

If No, how are women with 3rd & 4th degree tears followed up? (please X or ✓)

Community midwives

GP

x

Hospital antenatal clinic

x

Others – Please state

Gynae clinic

 

Do you have a designated women’s health physiotherapist? (please X or ✓)

If yes, how many?

x

If yes, when do they follow up women with 3rd & 4th degree tears

 

 

 

 

Antenatal

Postnatal

Ward prior to discharge

Other- Please state

 

What maternity data system is used in your unit? (please X or ✓)

Epic

x

Terranova

x

Euro king

x

Cerner

x

Other:

Badgernet

Any further comments:

 

Kindly provide the following details in case we need clarification. 

Any clarification can be made via shet.foi@nhs.scot

Your name:

 

 

Contact details:

Email address:

 

 

 

Where we have given <5 answers, this is because NHS Shetland considers that providing more specific information carries a high risk of identifying individuals. As such and in accordance with FOISA s 16(1), NHS Shetland confirms that it holds the information requested but that it is exempt from disclosure under FOISA s 38(1)(b) as read with s 38 (2A) as the information constitutes personal data and disclosure would breach the confidentiality of the data subjects.