Tees settles three maternal birth injury cases, securing compensation of £400,000 for clients
In the last twelve months, Janine Collier, Partner at Tees in Cambridge has settled three medical negligence cases concerning a failure to identify and repair perineal tears resulting in injuries to the anal sphincter complex following childbirth.
What is a perineal tear?
It is not uncommon to sustain a tear between the vagina and the anus during childbirth. First degree tears are so small and superficial (involving just the skin and the tissue surrounding the vagina) that few, if any, stitches are required. Sometimes, the tear extends further, into the muscles beneath the skin (a second degree tear) and this will need to be stitched and closed layer by layer. Around 4% of women suffer a more serious tear which extends to or through the rectum (third and fourth degree tears).
Why should perineal tears be repaired at the time of delivery?
Healthcare professionals generally accept that tears are most important to be identified and repaired at the time of delivery to reduce the risk of infection, recto-vaginal fistulae and various rectal symptomology, including faecal and flatus incontinence.
Obstetricians now undergo a rigorous training programme to minimise the chances of clinicians missing these tears after delivery; to ensure a good quality repair; and to maximise the chances of good continence following primary repair.
What are the consequences of missing a third or fourth degree tear at delivery?
Unfortunately, however, sometimes, these tears are still missed and notwithstanding a delayed repair (sometimes primary, sometimes secondary), the women suffer persistent and debilitating rectal symptomology which may include incontinence of flatus, faecal incontinence, passive soiling etc. Understandably, this has a significant effect on their lifestyle, their relationships with friends, family and Partners and, in some cases, their ability to work.
These women may be entitled to compensation to help them adapt to their situation; to fund future treatment; and to compensate them for any financial losses arising from their injuries.
How can we help you?
If you suffered a third or fourth degree tear; if this was not identified and repaired at the time of delivery; and if you suffer continuing problems as a consequence, please contact our Obstetric Anal Sphincter Injury expert, Janine Collier, for some initial advice. Janine is an expert in this field of medical negligence law. For an initial chat, you can call Janine on 01223 702303 or email janine.collier@teeslaw.com
Tees is proud to support The MASIC Foundation - a charity formed to support mothers with 3rd and 4th degree tears. Visit their website to find resources for support.
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Chat to the Author, Janine Collier
Executive Partner, Medical Negligence, Cambridge office
Meet Janine
- Areas of expertise
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- Testimonials
Legal 500 UK 2025
East Anglia
Janine Collier - one of the outstanding practitioners in the country. Not only excellent on all her own cases but ensures the standards of the whole team are extremely high.
Legal 500 UK 2025
East Anglia
Janine Collier is an excellent solicitor and runs a very dedicated and efficient team.
Legal 500 UK 2025
East Anglia
Janine Collier is exceptional for her detailed factual and legal analysis of claims, the high standard of her instructions, and her sensitive client management. Her energy is remarkable.
Legal 500 UK 2025
East Anglia
Janine Collier is an extremely able and committed lawyer; apart from her skill as a litigator and negotiator, Janine is known for going the extra mile for her clients. Janine's tenacity is evident from the excellent case outcomes she achieves; even in the most complex of cases, she is unafraid to litigate if the right settlement cannot be achieved, but her negotiating skills are such that she sees the benefits of settlement where the award is at an appropriate level as this provides certainty that does not follow litigation.
Legal 500 UK 2025
East Anglia
'Janine Collier inspired confidence and put us at ease. Janine always showed great empathy, and we felt we weren't treated simply as a case but as individuals. She was in regular contact by phone/email - even out of hours when required. She built a great team of experts for our case - and regularly questioned and challenged them. She also found us a good case manager, who found us experts who could really help us - and she negotiated an advance on our settlement to fund these.
Anonymous
Cambridge
Janine was extremely compassionate and caring about my experiences. Her words have remained dear to my heart and kept me strong throughout this process. She is a remarkable lady who truly wanted the best outcome for me. Anytime I contacted her, she always explained everything thoroughly and in detail. My queries were always resolved in her presence. She has a very good heart.
Legal 500 UK 2024
East Anglia
Janine Collier is a stand-out. She would be coveted by all top firms. An excellent leader, an excellent litigator.
Legal 500 UK 2024
East Anglia
Janine Collier has been brilliant throughout our whole process, and I have felt extremely supported and able to trust that she has my son’s best interests in mind with everything she does.
Legal 500 UK 2024
East Anglia
Janine Collier is hugely able and extremely hard-working – a perfect leader of the team as well as a fantastic litigator.
Legal 500 UK 2023
'Janine Collier has an amazing reputation and quite rightly, she very quickly spotted something that wasn’t the main focus of the case but is able to zoom out and look at everything that’s going on and spot things others wouldn’t spot. You can tell she really cares and is a very dedicated person who just wants to help. The team are all caring and efficient'
A
Cambridge
'A heartfelt thank you for all you have done in preparation for and during the settlement meeting, as well as for your unfailing support along the way, in and out of hours. It is undoubtedly due to your high professionalism if the outcome today has exceeded all expectations; it will be a huge help for us going forward and we will be forever grateful'
Chambers & Partners 2022
Cambridge
'Janine Collier is renowned for her handling of delay in diagnosis, obstetric injury and surgical negligence claims. She is at the top of her game and knows clinical negligence inside and out'
Susan Hickman
Cambridge
'We consider ourselves fortunate to have been recommended to Tees by the solicitor we initially approached. We did not realise it until the case was well established that the level of professional care we were receiving was exceptional and that the experience of the individuals and the contacts they have to assist in a very complex case was the best available. We are grateful that we received a satisfactory settlement as a result of their efforts under difficult circumstances and dealing with defendants that were obstructive and disorganised. By far the greatest benefit for us however is the fact that the victim, with assistance from highly skilled experts that we would not have known about otherwise, learned to walk short distances when all other medical opinion did not consider this possible. This was their greatest achievement which is well beyond the service we expected'
The Fisher family
Janine works with empathy, understanding and compassion. She handled our mother's inquest with skill and sensitivity and guided us expertly. She kept us informed continually via email and multiple meetings and phone calls. Janine completely took the sting and the stress out of our case.