Episiotomy Lie; Presentation; Polarity; Position; Episiotomy; Video
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Episiotomy
 

This is the procedure of widening the introitus in order to avoid damage to the perineal body and the pelvic floor at birth. It is also used to facilitate quick delivery and also to reduce the length of the second stage of labour.

Technique

The site of the episiotomy is selected and infiltrated with 1% lignocaine about 20 ml. This also will do for the repair. The incision is made at the crowning of the head and at the height of the contraction.

The following structures are incised in episiotomy

Types

Repair

 

Normal delivery video Episiotomy repair

 

DIGITAL  LOCATOR OF FEMALE PERINEUM: Layer 1 Layer of skin of female perineum. Layer 2 Layer of superficial fascia of female perineum. Layer 3 Layer of deep fascia of female perineum (Colles fascia). Layer 4 Layer of superficial muscles in superficial perineal pouch of female perineum. Layer 5 Layer of intermediate muscles in deep perineal pouch of female perineum. Layer 6 Layer of deep muscles in deep perineal pouch of female perineum. Layer 7: Pelvic outlet as margins of perineum Layer 1 Layer of skin of female perineum

 

 

 

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