<text>  A tribunal hearing has found a midwife failed in her duty of care to a teenage mother who she told to keep her legs together after the young mum suffered a vaginal tear while giving birth. New Zealands Human Rights Review Tribunal also heard community nurse Natasha Thomson showed up six minutes after the baby was born at her patients house on January 15, 2012. She did this despite receiving five phone calls in one hour from the mother who described herself to be in excruciating pain. A New Zealand Human Rights Review Tribunal found a midwife did not give appropriate care to a teenage mother after she suffered a vaginal tear while giving birth . At one point, Ms Thomson dismissed the increasingly urgent calls from the woman giving birth, her husband and the womons mother by saying teenage mothers sometimes panic when labour starts, the tribunal wrote in its judgement. The patient - only known in tribunal documents as Ms B - gave birth to her baby on her hands and knees in the bathroom. Thomson did not bring her scissors to cut the umbilical cord and instead had to use kitchen scissors found by the teenagers partner, Mr B. After examining Ms Bs perineum - the area between vagina and anus - Thomson told the mother there was a tear. It was a home birth and the midwife arrived late despite receiving five phone calls in one hour from the mother who described herself to be in excruciating pain The teenage mother gave birth to her baby on her hands and knees in the bathroom She said the tear was not a bad one, referring to it as only a tiny tear. Thomson looked at her patients perineum again and then advised Ms B to be ladylike, and to keep her legs together and change her pads on a regular basis. But tribunal documents say Ms B had to be later admitted to hospital. The midwife also had not told the new parents how to properly care for the wound, which was at risk of infection. Tribunal documents said Ms B only went to hospital weeks later when the midwife should have had her admitted at the time . In the weeks after the pregnancy, Ms B was in so much pain in her perineum that she could barely walk. When Ms B took a step she could feel the tear pull open, and found it very painful when urinating. she told the defendant that she had tried to make a funnel to prevent the urine from touching the tear, and said that she could not bear the pain. Ms B became so desperate she even tied her thighs together with her dressing gown cord so that she would not pull the wound open when she walked. The defendant laughed at Ms Bs use of the dressing gown cord, which caused Ms B to feel disparaged. The mother was found to have experienced a second degree vaginal tear that she was successfully treated for at Wairau Hospital . The defendant checked the tear and told Ms B that the tear was healing fine. But Ms B still told the defendant that she was in a lot of pain. At no stage did the defendant refer Ms B to a medical practitioner to assess the perineal tear. Ms B was only finally admitted to hospital weeks later on February 10, 2012, after she went to her GP about an infection on her finger that had spread to her hand and arm. It was then Ms B also asked the doctor to check her perineum. The doctor called an obstetrician to assess her and she was found to have experienced a second degree tear that she was successfully treated for at Wairau Hospital. 