Information for health service organisations – Third and Fourth Degree Perineal Tears Clinical Care Standard

This clinical care standard sets out the components of care that health service organisations can use to guide practice and monitor improvement in hospitals and other services where the Third and Fourth Degree Perineal Tears Clinical Clinical Care Standard applies.

Quality statements

National Safety and Quality Health Service Standards

Monitoring the implementation of this clinical care standard will help organisations to meet some of the requirements of the National Safety and Quality Health Service (NSQHS) Standards (second edition).

The NSQHS Standards aim to protect the public from harm and improve the quality of health service provision. They provide a quality assurance mechanism that tests whether relevant systems are in place to ensure that expected standards of safety and quality are met.

Within the NSQHS Standards, the Clinical Governance Standard and the Partnering with Consumers Standard combine to form the clinical governance framework for all health service organisations that applies to all other standards.

Action 1.27b and Action 1.28

Under the Clinical Governance Standard, health service organisations are expected to support clinicians to use the best available evidence, including clinical care standards (see Action 1.27b) and to monitor and respond to unwarranted clinical variation (Action 1.28).

Health service organisations are expected to implement the NSQHS Standards in a way that suits the clinical services provided and their associated risks. 

Implementation resources

A number of resources have been developed to support health service organisations implementing the Third and Fourth Degree Perineal Tears Clinical Care Standard.

Resources for health service organisations

Webcast launch  - video recording

The Commission hosted a webcast to launch the standard on 21 April 2021. The slides from the launch are included in the list of resources for download below.

The launch and panel discussion hosted by Professor Anne Duggan, Acting Chief Medical Officer, provides an overview of the new standard, and discusses some of the evidence driving the need for change.  

Expert panellists include obstetrician Associate Professor Emmanuel Karantanis, midwifery expert Professor Hannah Dahlen, physiotherapist Natalie McConochie, and Janelle Gullan, a woman who experienced a third-degree perineal tear. 

Webcast Launch - Third and Fourth Degree Perineal Tears Clinical Care Standard

Resources for clinicians

Talking about Tears - a video for clinicians

 

Resources for women  

Third and fourth degree tears during labour and birth – a video for consumers