Problem: Frequent obstetric perineal morbidity in a hospital setting with service providers inexperienced in getting evidence into practice. Design: Clinical practice improvement methodology in a tertiary referral obstetric unit. Strategies for change: To cease active instruction to push in the second stage of labour; encourage the adoption of the left lateral position when delivering on a bed; use of the vacuum extractor rather than forceps where instrumental delivery indicated. Effects of

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... ge: Improved perineal outcomes with a 21.5% increase in intact perineum rate and a 100% reduction in fourth degree perineal tears. Lessons learned: Clinical practice improvement methodology is a useful tool for getting evidence into practice, resulting in improved clinical out-Aust Health Rev 2006: 30(4): 462-467 comes.