Article Text

Download PDFPDF

PL.20 Perineal Assessment and Repair E-Learning System (ePEARLS): An E-Learning Training Package to Improve Clinical Management of Perineal Trauma Following Childbirth
  1. A Mahmud1,
  2. C Kettle2,
  3. D Bick4,
  4. C Rowley2,
  5. T Rathod3,
  6. J Belcher3,
  7. M Abdelmaguid2,
  8. K Ismail1,5
  1. 1Birmingham Women’s Hospital NHS Foundation Trust, Birmingham, UK
  2. 2Staffordshire University, Stafford, UK
  3. 3Keele University, Staffordshire, UK
  4. 4Kings College London, London, UK
  5. 5University of Birmingham, Birmingham, UK


Background Birth related perineal trauma can have a major impact on women’s health. The correct assessment and repair of perineal injuries are procedures that require knowledge and skill. Currently, there is no agreement as to what constitutes an effective training programme. We produced and tested an interactive distance learning multi-professional training package called ePEARLS. This was developed as a tool for the delivery and assessment of perineal repair training in line with UK evidence based practise.

Methods The main aim of this project was to develop, refine and assess ePEARLS as a tool for the assimilation of knowledge and skill to clinicians involved in Intrapartum care. Using pre and post-training objective assessments for both knowledge and skill, we compared the effect of delivering training using ePEARLS compared to other training models in three independent multi-professional groups from three different maternity units.

Results Thirty-eight participants were involved in the study. Improvements in knowledge scores were marginally significant in all three groups. However, more marked improvements in skill scores were noted in response to the different training models.

Conclusion ePEARLS is the first multi-professional interactive perineal trauma management e-learning package that has been formally tested against other training models. The potential cost effectiveness of this package makes it far superior to other methods of delivering training and maintaining competency.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.