Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Definition
• Verbal consent
• Complete delivery
Pudental nerve block
Mediolateral episiotomy
• Except for the important issue of third - and fourth - degree
extensions, midline episiotomy is superior??
• Fourfold decrease in severe perineal lacerations following
mediolateral episiotomy compared with rates after midline
incision.
• Proper selection of cases can minimize this one disadvantage.
• Kudish and co-workers (2006) advised against midline
episiotomy with operative vaginal delivery because of an
increased incidence of anal sphincter tears.
Midline episiotomy
Episiorraphy
https://www.youtube.com/watch?v=_a8c2qskuzA
Complications
• Episiotomy use at the time of the first vaginal delivery appears to increase the
risk of a severe obstetric laceration in a subsequent vaginal delivery