Episiotomy

Question 1

A surgical incision of
the perineal body to
enlarge the outlet.

The second most
common procedure
in maternal-child
care

Most common is the Right medial Lateral

Answer 1

Episiotomy

Question 2

an episiotomy incision is made with
_________ in the ______ of the
perineum or is begun in the midline
but directed laterally away from the
rectum

Answer 2

1.) Blunt tipped scissors

2.) Midline

Question 3

Advantages

Answer 3

• substitutes a clean cut for a ragged tear,

•minimizes pressure on the fetal head,

•may shorten the last portion of the second
stage of labor

Question 4

factors that predispose women to episiotomy

Answer 4

primigravid status
•large or macrosomic fetus

•occiput-posterior position

•use of forceps or vacuum extractor

•shoulder dystocia

Question 5

Preventative Measures

Answer 5

 Kegel exercises

 Perineal massage

 Natural pushing during labor, and avoiding the lithotomy position or
pulling back on legs

 Side-lying position for pushing

Question 6

• result in less postpartal discomfort

• added laceration may extend into the anal sphincter

• limited enlargement of the vaginal opening because perineal length is
limited

Answer 6

MEDIAN

Question 7

• is begun in the midline but directed laterally away from the rectum

• more enlargement of the vaginal opening

• little risk that it will extend into the anus

• more blood loss

• increased postpartum pain

Answer 7

MEDIOLATERAL