June 10th, 2026

New knowledge about pain after perineal trauma: Size matters!

Speakers: Malin Edqvist, Senior midwife, PhD; and Cecilia Häggsgård, Research Midwife, PhD.

In this presentation, we will learn about postpartum perineal pain. Malin Edqvist and Cecilia Häggsgård will share new insights from a large, randomized trial, focusing on outcomes 30-60 days after birth. The research reveals data on pain in various forms, important to women after birth.

• Pain when sitting
• Pain during voiding
• Pain during defecation
• Pain during intercourse (if resumed)
• Feeling of a too wide or too narrow vagina
• Dissatisfaction with perineal wound area
• Late complications

June 1th, 2022

Reducing severe perineal trauma: The effect of two midwives during the second stage of labour

Malin will present “Oneplus”: a multicentre, randomised controlled trial in Sweden.

Severe perineal trauma (SPT) affecting the anal sphincter muscle complex is a serious complication following childbirth, associated with short-term and long-term maternal morbidity. Effective preventive strategies are still scarce.

The aim of the Oneplus trial was to test the hypothesis that the presence of a second midwife during the second stage of labour, with the purpose of preventing SPT, would result in fewer injuries affecting the anal sphincter than if attended by one midwife.