Steen, Mary2010-11-262010-11-262010-11-01British Journal of Midwifery, 2010, 18 (11) pp. 710-7150969-4900http://hdl.handle.net/10034/116391This article is not available through ChesterRep.This article discusses the care and consequences of perineal trauma which affects the majority of women. It is clearly evident from the literature that failure to recognise the extent of trauma, incorrect repair and inadequate pain relief can lead to negative consequences in both the short and long term. Women complain of varying degrees of perineal pain and discomfort and pain relief is an important aspect of midwifery care. It would appear that a combination of systemic and localised treatments is necessary to achieve adequate pain relief which will meet individual women’s needs.enperineal traumachildbirthepisiotomyperineal tearspain reliefevidence-based practiceArticleBritish Journal of Midwifery