Deep into Episiotomy Gynecology Midwife or Obstetrician Natural Childb – Medarchitect

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Deep into Episiotomy Gynecology Midwife or Obstetrician Natural Childbirth

Vaginal Delivery/Natural Childbirth is a nightmare for many moms. How is this episiotomy performed? The following describes the basic process of decomposing surgery...

Anesthesia: The bladder lithotomy position was taken, and bilateral pudendal nerve block anesthesia was used. Smaller episiotomy, local infiltration can be.

Incision: The incision time should be carried out when the head of the child is exposed to about 5-6cm in diameter of the perineum. Too early incision can cause unnecessary blood loss, too late and the incision is meaningless.

Suture: Separate the vagina with two fingers of the left hand, find the top of the incision wound about 0.5cm above the wound and start suture. First, the vaginal mucosa and submucosal tissue are sutured to the vaginal opening, then the deep tissue is sutured in 2 to 3 layers intermittently, and finally the skin is sutured with silk or catgut for continuous intradermal suture. Suture to align the tissue, not too tight but not leaving dead space to avoid bleeding or hematoma formation.

Why perform a Laceration/Episiotomy?

Due to the tightness of the perineum in primiparas, the resistance to the delivery of the fetus is greater, and sometimes serious trauma may occur. Necessary and timely incision of the perineum is not only conducive to the delivery of the fetus, but also to prevent sequelae such as pelvic floor relaxation caused by perineal trauma. The incised wound has neat edges, is easier to close than a laceration, and heals better. If the episiotomy can be done in time, there will be no sequelae such as postpartum urinary incontinence, and it will be beneficial to the mother and the fetus.

What kind of mother needs Laceration/Episiotomy?

  • If the perineum has poor elasticity, narrow mouth, or inflammation and edema in the perineum, it is estimated that severe perineal tearing will inevitably occur when the fetus is delivered.
  • The fetus is large, the position of the fetal head is not correct, and the production force is not strong, the fetal head is blocked in the perineum.
  • In order to reduce maternal physical exertion, shorten the labor process, and reduce the threat of childbirth to the mother and baby, when the fetal head descends to the perineum, it is necessary to Had an episiotomy.
  • The uterine opening is fully opened, the fetal head is low, but the fetus has obvious hypoxia, abnormal changes in the fetal heart rate, or irregular heartbeat rhythm, and the amniotic fluid is cloudy or mixed with meconium.
  • When using forceps to assist in delivery.

How to improve Laceration/Episiotomy skills?

Customers can sign up for the online suture workshop, Medarchitect provides Laceration/Episiotomy Vulva Model Suture Simulator for many suture workshops.