- FoI Number
- 2025-146
- Subject
- Perineal Tears
- Date Received
- 29/05/2025
- Request and Response
-
This will help us to establish accurate prevalence data and establish the current national practice regarding follow–up of third- and fourth-degree tears between 31st December 2023- 1st January 2025 and correlate data with the maternity dashboard.
Name of Hospital / Unit
NHS Shetland
Address
Gilbert Bain Hospital
South Road
Lerwick
ZE1 0TB
Total
Primiparous
Multiparous
Don’t Know
All Births
90
28
62
Vaginal deliveries
56
24
32
Forceps deliveries
-
<5
<5
Ventouse deliveries
0
0
0
Failed ventouse →
Forceps deliveries
Caesarean Section
32
Elective caesarean section
-
<5
16
Emergency caesarean Section
-
9
<5
Second degree tears
15
Sutured second degree tears
Episiotomies
<5
Third degree tears
3a
0
3b
<5
3c
0
Fourth degree tears
0
Rectal buttonhole tear
0
Type of Hospital/Unit?
(please X or ✓)
Free-standing Midwifery Unit
Alongside Midwifery Unit
Obstetrician Led Labour Ward
State Other:
X
X
X
Combined facility
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
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:
If No, how are women with 3rd & 4th degree tears followed up? (please X or ✓)
Community midwives
GP
Hospital antenatal clinic
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
Terranova
Euro king
Cerner
Other:
X
X
X
Badgernet
Any further comments:
Kindly provide the following details in case we need clarification.
Your name:
Contact details:
Email address:
Where we have given <5 answers and not provided totals, 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.
