Good ppt on suturing of episiotomy

1. Suturing of Episiotomy

2. Introduction
• Episiotomy is a surgical incision made in the
perineum during childbirth to enlarge the
vaginal opening. Suturing is essential for
proper healing.

3. Indications for Episiotomy
• • Fetal distress
• • Shoulder dystocia
• • Operative vaginal delivery
• • Rigid perineum

4. Types of Episiotomy
• • Midline episiotomy
• • Mediolateral episiotomy

5. Instruments Required
• • Needle holder
• • Tissue forceps
• • Scissors
• • Suturing material (usually absorbable)

6. Preparation
• • Ensure aseptic conditions
• • Anesthetize the area
• • Evaluate the extent of the incision

7. Suturing Technique Overview
• Three layers are sutured:
• 1. Vaginal mucosa
• 2. Muscle layer
• 3. Skin

8. Suturing the Vaginal Mucosa
• • Start at the apex of the vaginal incision
• • Use continuous locking or interrupted
sutures
• • Ensure hemostasis

9. Suturing the Muscle Layer
• • Approximate muscle edges
• • Use interrupted absorbable sutures
• • Avoid deep stitches to prevent pain

10. Suturing the Skin
• • Use subcuticular or interrupted stitches
• • Ensure good alignment
• • Avoid tension on the wound

11. Post-Suturing Care
• • Clean the area
• • Monitor for bleeding
• • Provide pain relief
• • Educate the mother on perineal hygiene

12. Complications
• • Hematoma
• • Infection
• • Pain
• • Wound dehiscence

13. Conclusion
• Proper technique and post-care are crucial for
healing and maternal comfort.