Episiotomy and Tears

Question 1

Episiotomy:

Indications

Answer 1

If perineum appears to be tearing
Poor prognosis
Complex delivery - breech, instrumentation, dystocia

Question 2

Episiotomy:

Method

• What is used for anaesthesia?
• What should be done to protect the baby’s head?
• Where should the cut be made towards?

Answer 2

Anaesthesia - epidural or lidocaine in the perineum

Place 2 fingers to protect baby’s head

Mediolateral episiotomy - cut towards the ischial tuberosity

Question 3

Episiotomy:

Comploicatons

Answer 3

Standard procedure complications
Scarring
Fistula
Dyspareunia

Question 4

Tears;

Labial tears:
- Why are they sutured if both sides are torn?

How many degrees of tears are there?

Which damages the anal sphincter?

What can damage to the anal sphincter lead to?

Answer 4

They may heal joined together they heal quickly

First, second, third and fourth

Third and fourth-degree

Look at picture

Incontinence

https://motherswith4thdegreetears.wordpress.com/what-is-a-4th-degree-tear/