Perineal assessment and repair following childbirth: the FAB training method


Perineal assessment and repair following childbirth: the FAB training method

Who is this DVD suitable for?

The FAB (Fynes and Bosanquet) training method is relevant to all clinicians whose role involves assessment and repair of perineal trauma sustained at childbirth, from absolute beginners to advanced practitioners who will find the method useful as a teaching tool. This may include student midwives and midwives, trainee doctors, midwifery tutors and lecturers.

How was the method developed?

The FAB training method developed as the result of collaboration between a specialist perineal midwife and midwifery lecturer Anna Bosanquet, and uro-gynaecology consultant Michelle Fynes, who for many years have worked together at St George’s hospital in London, UK, preventing and managing childbirth related perineal trauma.

What will I learn?

This DVD will support you in learning how to assess perineal trauma and how to repair perineal and vaginal tears and episiotomies. It does not cover repair of obstetric anal sphincter injury or other complicated trauma.

The method equips you with the necessary knowledge and understanding of the pelvic floor anatomy, and facilitates the development of visual acuity, tactile assessment and manual dexterity skills.

Clear step-by-step instructions on various types of surgical knots and suturing techniques are given in order to encourage you to learn a range of skills in a controlled environment before proceeding to perineal repair in clinical practice.

A graded approach to learning

The method is based on the graded approach, where new knowledge and skills are introduced step by step by gradually increasing the level of difficulty and complexity.

The method identifies four dimensions for skill acquisition: cognition, perception, action and emotion. In addressing each of these, our graded approach supports you in achieving learning stepping-stones at your own speed, progressing as and when you are ready.

What is on the DVD?

The DVD consists of a number of independent sections. We advise you to cover these sections chronologically, one by one. Once this has been accomplished, in order to maintain the skill, we advise you to re-visit different sections in any order, on a regular basis.

  • The DVD starts with an introduction by Professor Cathy Warwick and Professor Sabaratnam Arulkumaran.
  • The section on the anatomy of the female pelvic floor containing graphical representations and 3D images. Understanding of normal anatomy is enhanced further by innovative inclusion of clinical material demonstrating long-term complications resulting from childbirth injury and inappropriate repair.
  • Types of perineal trauma and its assessment are introduced systematically, using a selection of film and photographic images. This section also contains instructions on how to recognise an obstetric sphincter injury, and how to perform an episiotomy.
  • Learning to suture starts with an introduction to instrument handling and general suturing techniques. Watch the the student progress from practice on sponges to tissue material, and observe perineal surgery in theatre. This is followed by three examples of perineal repair following childbirth varying in complexity: a repair of an episiotomy and two second degree tears.
  • Postnatal care guidance is given, and supported with photographs of some common short term complications.
  • Woman centred care and psychological components of care for both women and practitioners are highlighted throughout the DVD, and emphasised through interviews with a new mum and a midwife.

How can I purchase the DVD?

The DVD costs £59.00 + VAT. Discounts are available if more than one DVD is purchased at a time.

To purchase the DVD visit St George’s, University of London website. For information about purchasing please contact St George’s, University of London, tel + 44 (0)20 8725 0075, email