“…the actions of others/instruments used), (Priddis, Schmied, & Dahlen, ; Priddis, Schmied, Kettle, Sneddon, & Dahlen ; Thompson & Walsh, ). Those with OASI who felt the cause of their tear was external, described how they felt “let down by the system” (Priddis, Schmied, & Dahlen, ; Priddis, Schmied, Kettle, et al., ). Women also described a lack of knowledge about the different degrees of perineal trauma, believing that every tear is severe, as this was the only type of tear they heard about from others (Priddis, Schmied, & Dahlen, ; Thompson & Walsh, ).…”