Episiotomy | Perineotomy | Nursing Lecture скачать в хорошем качестве

Episiotomy | Perineotomy | Nursing Lecture

Episiotomy is a planned incision on the perineum and in the posterior vaginal wall during the second stage of labor to ease the delivery whether it is spontaneous or by manipulative means. Indications - 1. Big baby 2. Rigid perineum in elderly primigravida 3. Breech presentation 4. Shoulder dystocia 5. Forceps & ventouse application 6. Persistent OP position Timings- At the peak of uterine contractions when the head is visible about 3-4 c.m., just before the crowning, & the perineum becomes thinned & bulging is the ideal time to give incision. Types- 1. Median 2. Mediolateral 3. Lateral 4. J shaped 5. Inverted T shaped Mostly performed is mediolateral type. Structures to be cut in episiotomy - (1) Posterior vaginal wall (2) Superficial and deep transverse perineal muscles (3) Bulbospongiosus Rarely levator ani (4) Perineal vessels and nerves (5) subcutaneous tissue and skin Repair- Chromic catgut Or Vicryl 1. Vaginal mucosa sutures first 2. Perineal muscle 3. Skin & subcutaneous tissue 00:00 What is Episiotomy /Perineotomy 01:04 Indication for Episiotomy 02:15 Timing of Episiotomy 04:20 Types of Episiotomy 08:27 Procedure of Episiotomy 10:26 Structures to be cut in Episiotomy 11:33 Episiotomy Repair ****** For more Lectures, please visit ******* Mobile App: https://play.google.com/store/apps/de... YouTube Channel -    / nursinglecture   Official Website - http://nursinglecture.com/ Facebook -   / nursinglecture   #Episiotomy_in_English #Perineotomy_in_English #Episiotomy_Nursing_lecture #Mediolateral_Episiotomy #Episiotomy_Types #Episiotomy_timings #Episiotomy_Procedure #Episiotomy_Repair #Nursing_Lecture_in_English #Nursing_Lecture