Episiotomy Procedure And Repair Techniques Pdf
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Repair of Episiotomy, First and Second Degree Tears
If you anticipate that an episiotomy may be needed, you should inject local anaesthetic into the perineum. An episiotomy should not be done without adequate analgesia. The local anaesthetic is injected below the skin and vaginal epithelium in the area where the episiotomy will be cut. The nerve fibres that relay pain stimuli are below the skin and epithelium. Be very careful that the local anaesthetic is not injected into the presenting part of the fetus. The midline episiotomy has the danger that it can extend into the rectum to become a third-degree tear while the mediolateral episiotomy often results in more bleeding. This skills chapter will only deal with the mediolateral episiotomy because it is used most frequently, is safe, and requires the least experience.
Metrics details. Previous studies have shown that complaints after episiotomy repair depend on the method and material used for repair. All other layers were sutured with Vicryl and Vicryl 0 in both groups. Pain scores and complications were documented using questionnaires during the first three months post partum. The trial was retrospectively registered under trial nr.
How to repair an episiotomy
Episiotomy , also known as perineotomy , is a surgical incision of the perineum and the posterior vaginal wall generally done by a midwife or obstetrician. Episiotomy is usually performed during second stage of labor to quickly enlarge the opening for the baby to pass through. The incision, which can be done from the posterior midline of the vulva straight toward the anus or at an angle to the right or left medio-lateral episiotomy , is performed under local anesthetic pudendal anesthesia , and is sutured after delivery. Its routine use is no longer recommended. Vaginal tears can occur during childbirth, most often at the vaginal opening as the baby's head passes through, especially if the baby descends quickly.
Episiotomy: Procedure and Repair Techniques represents the knowledge and experience of experts in the field and does not necessarily reflect College policy. Methods and techniques of clinical practice that are currently acceptable and used by recognized authorities are described in this publication. These recommendations do not dictate an exclusive course of treatment or of practice. Variations taking into account the needs of the individual patient, resources, and limitations unique to the institution or type of practice may be appropriate. Hale, Frank W. Includes bibliographical references.
Perineal and Anal Sphincter Trauma pp Cite as. Unable to display preview. Download preview PDF. Skip to main content.
Skilful repair of an episiotomy is an important aspect of maternal health care. It is essential that midwives and doctors have the knowledge and skills to undertake this procedure in a safe and effective manner. Repair of an episiotomy is undertaken in three stages: repair of the vaginal mucosa, repair of the muscle layer and repair of the skin layer.
Немыслимо, - подумала. Согласно информации, появившейся в окне, команда была подана менее двадцати минут. Сьюзан помнила, что за последние двадцать минут вводила только свой персональный код, когда выходила переговорить со Стратмором. Невозможно представить, что машина могла спутать пароль с командой отключения Следопыта. Понимая, что теряет время, Сьюзан вызвала на экран регистр замка и проверила, верно ли был введен персональный код.
Сьюзан повернулась, и Хейл, пропуская ее вперед, сделал широкий взмах рукой, точно приветствуя ее возвращение в Третий узел. - После вас, Сью, - сказал .