Midwives׳ and doctors׳ perceptions of their preparation for and practice in managing the perineum in the second stage of labour: A cross-sectional survey

many midwives indicated that they had not received training in diagnosing ASI, perineal repair and midwives׳ and doctor׳s knowledge of the prevalence of perineal outcomes was poor. Given the importance of these skills to women cared for by midwives and doctors, the findings may be used to inform the development of quality improvement activities, including training programs and opportunities for gaining experience and expertise with perineal management. The use of episiotomy and hands on/hands off the perineum in the survey scenarios provides reassurance that doctors and midwives take a number of factors into account in their clinical practice, rather than a preference for one or more interventions over others.