An episiotomy is an incision made in the perineum — the tissue between the vaginal opening and the anus — during childbirth. Although an episiotomy was once a routine part of childbirth, that’s no longer the case.
Purpose of Episiotomy
To make the vaginal opening larger to make it easier for a woman to give birth.
- Extensive vaginal tearing appears likely
- Your baby is in an abnormal position
- Your baby is large (fetal macrosomia)
- Your baby needs to be delivered quickly
Scope of Episiotomy
All delivered patient who has undergone episiotomy.
A surgical cut made at the opening of the vagina during childbirth, to aid delivery and prevent rupture of tissues.
Gyneac & Obstetric Department.
Consultant, Medical Officer, Staff Nurse, Auxillary Nurse Midwife and Head Nurse.
- Observe the perineum for crowning of head as it occurs during the contraction during labour.
- Infiltrate the perineum with Xylocaine 2% in between contractions.
- Guard the head by two fingers and incise the perineum without injuring the fetus.
- Start the incision strictly in the midline of the fourchette and extend its posterior laterally in the left side upto 11/2 inches during the time of contraction.
- Provide lithotomy position to the patient.
- Provide adequate lighting for procedure.
- Hand over the suture material on needle holder or any other material as per Gynecologist.
- Clean vaginal bleeding with gauze mop
- Retract the vaginal wall with Sim’s speculum to ensure that the apex of the vaginal wound is clearly seen.
- Assist the doctor throughout the procedure.
- Provide reassurance to the patient during the procedure.
- Clean the perineal area with Betadine solution.
- Apply sterile pads and tie.
- Make the patient lie comfortably back in supine position.
- Clean and dry the patient thoroughly.
- Change into fresh clothing.
- Provide snacks / meals as desired by patient.
- Nurse’s Observation Sheet.
- Billing Data Record.