Authors' reply

EDITOR,—Both letters about our paper emphasise that parity is an important variable to consider when dealing with perineal trauma and obstetrics in general. We agree. Parity was not an element of our feedback to the midwives but will be in the future. We, however, found no difference in parity between different time periods (categorised in three month intervals) or between different groups of midwives (categorised as in table III in our paper). Although more episiotomies and perineal tears were found in primiparous women in our study, our results were the same in relation to the changes …