As a clinical academic midwife I am dedicated to providing the research evidence needed to improve care.

The following are some of my research publications that may be of interest.


The impact of subsequent birth and delivery mode for women with previous OASIS: systematic review and meta-analysis. Sara S Webb, Margarita Manresa, Derick Yates, Matthew Parsons, Christine MacArthur, Khaled M Ismail. Int Urogynecol J (2016) doi: 10.1007/s00192-016-3226-y

Book chapter Chapter 8: Perineal Trauma and Its Impact on Women’s Health, Webb S, Laine K, de Leeuw JW.. Page range 147-160 in Book Title: Perineal Trauma at Childbirth. Editor: Ismail, Khaled M. K. (Ed.) Springer, 2017 ISBN 978-3-319-14859-5

Book chapter Chapter 10:. Management of Perineal Trauma Complications: The Role of the MDT. Futaba K, Radley S, Webb S, Parsons M. Page range 169-179 in Book Title: Perineal Trauma at Childbirth. Editor: Ismail, Khaled M. K. (Ed.) Springer, 2017 ISBN 978-3-319-14859-5

The social, psychological, emotional morbidity and adjustment techniques for women with anal incontinence following Obstetric Anal Sphincter Injury: use of a word picture to identify a hidden syndrome. M. R. B. Keighley, Yvette Perston, Elissa Bradshaw, Joanne Hayes, D. Margaret Keighley, Sara Webb. BMC Pregnancy and Childbirth. 2016 16:275. DOI: 10.1186/s12884-016-1065-y

An obstetric sphincter injury risk identification system (OSIRIS): is this a clinically useful tool? Webb SS, Hemming K, Khalfaoui, MY, Henriksen T, Kindberg S, Stensgard S, Kettle C, Ismail KMK. Int Urogynecol J (2016). doi:10.1007/s00192-016-3125-2

Book chapter ‘Episiotomy and second degree tear’, Khaled MK Ismail & Sara S Webb, 488-489 in Gynecologic and Obstetric Surgery: Challenges and Management Options, First Edition. Edited by Arri Coomarasamy, Mahmood I. Shafi, G. Willy Davila and Kiong K. Chan. John Wiley & Sons, Ltd, 2016

Managing Perineal Trauma after childbirth. S Webb, M Sherburn, K Ismail. BMJ 2014; 349:g6829

The association between fetal position at the onset of labor and mode of delivery: a prospective cohort study Aishah Ahmad, Sara S. Webb, Bernadette Early, Alice Sitch, Khalid Khan and Christine MacArthur. Accepted manuscript online: 8 AUG 2013 09:33AM EST | DOI: 10.1002/uog.13189

Pain on defaecation following an obstetric anal sphincter injury. Webb S, Futaba K, Burton C, Radley S, Parsons M, Toozs-Hobson P. Colorectal Disease, July 2012 Vol 14 issue 33, pp1462-8910 Conference abstracts.

Abdominal palpation to determine fetal position at labor onset: a test accuracy study. Sara S Webb, Maria N Plana, Javier Zamora, Aishah Ahmad, Bernadette Earley, Christine MacCarthur, Khalid S Khan. Acta Obstetricia et Gynecologica Scandinavica. Vol 90, Issue 11. November 2011, pp 1259–1266.

The specialist perineal midwife: making a difference. Webb S, Parsons M. MIDIRS Midwifery Digest, vol 21, no 3, September 2011, pp 351-352

What is the risk of a second obstetric anal sphincter injury after a previous injury? C Burton, S Webb, M Masood, M Parsons, S Radley, P Toozs-Hobson Int Urogynecol J 2009 20 S228

The role of specialised birth plans for women with previous third or fourth degree obstetric anal sphincter injuries (OASIS). Webb S, Parsons M, Toozs-Hobson P. MIDIRS Midwifery Digest, vol 17, no 3, September 2007, pp353-354.

Partial third degree tears. Does type of repair matter? Toozs-Hobson P, Webb S, Pretlove S, Radley S. Int J Pelvic floor Dysfunct. 2007. Suppl1 119

Is there a role for triage in midwifery? Webb S. MIDIRS Midwifery Digest, vol 14, no 4, December 2004, pp493-495.


Webb SS, KMK Ismail (Original Authors). Submitted 2015. Third and Fourth degree tears. Birth after OASIS. StratOG [Online]. Available at: [Accessed: Nov 2015]

Webb SS (Contributing Author). 2013. Postpartum and Neonatal problems. The postpartum period. StratOG [Online]. Available at: [Accessed: Sept 2013]


The effect of Birth after Anal Sphincter Injury on bowel Symptoms and Quality of life: The BASIQ Study. (Funded by NIHR award CDRF-2012-03-064)

Analysis of fetal Position at the Onset of Labour and Labour Outcomes: The APOLLO Study