Labor and delivery - Episiotomy Flashcards Preview

OBGYN - 3. OB normal > Labor and delivery - Episiotomy > Flashcards

Flashcards in Labor and delivery - Episiotomy Deck (10):
1

Indications for episiotomy

  1. Expedite delivery in the 2nd stage of labor
  2. When spontaneous laceration is likely
  3. Maternal or fetal distress
  4. Maternal exhaustion
  5. Breech position
  6. Assisted forceps
  7. Large baby

2

Muscles involved in a mediolateral episiotomy

  1. Bulbospongiosus
  2. Transversus perineus muscle

A image thumb
3

Midline vs mediolateral

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Surgical repair

  • Midline
    • Easy
  • Mediolateral
    • More difficult

4

Midline vs mediolateral

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Faulty healing

  • Midline
    • Rare
  • Mediolateral
    • More common

5

Midline vs mediolateral

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Postoperative pain

  • Midline
    • Minimal
  • Mediolateral
    • Common

6

Midline vs mediolateral

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Anatomical results

  • Midline
    • Excellent
  • Mediolateral
    • Occassionally faulty

7

Midline vs mediolateral

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Blood less

  • Midline
    • Less
  • Mediolateral
    • More

8

Midline vs mediolateral

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Dyspareunia

  • Midline
    • Rare
  • Mediolateral
    • Occassional

9

Midline vs mediolateral

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Extensions

  • Midline
    • Common
  • Mediolateral
    • Uncommon

 

Note: This is the only advantage of mediolateral

10

Extent of first to fourth degree perineal lacerations

  • First
    • Fourchette, skin, and vaginal mucous membrane
  • Second
    • plus fascia and muscles of the perineal body
  • Third
    • plus external anal sphincter
  • Fourth
    • plus rectal mucosa