Episiotomy Vs Laceration

Front 1

surigcal incision of the perineum to enlarge the outlet for birth of the baby

Back 1

episiotomy

Front 2

begins at center of perineum and extends downward

Back 2

midline

Front 3

begins at midline and extends at 45 degree angle to the R or L

Back 3

mediolateral

Front 4

episiorrhaphy

Back 4

term for repair

Front 5

purpose of episiotomy (2)

Back 5

decreases risk of laceration
minimizes overstretching of tissues

Front 6

Preventative measures to reduce episiotomies (4)

Back 6

kegel exercises
perineal massage in lst 4-5wks
spont pushing in 2nd stage
avoid pulling back legs

Front 7

fourchette, perineal skin, and vaginal mucuos membranes

Back 7

1st degree

Front 8

third degree plus extends through rectal mucosa to lumen of rectum

Back 8

4th degree

Front 9

perineal skin, vaginal mucous membrane, underlying fascia, and muscle layer

Back 9

2nd degree

Front 10

second degree plus anal spinchter, may extend up to the anterior wall of the rectum

Back 10

3rd degree

Front 11

NSG care following episiotomy or lacerations (4)

Back 11

ice pack x20min
REEDA
good hygiene
sitz bath
pain mgt

Front 12

additional NSG care for 3rd and 4th degree lacerations (2)

Back 12

nothing per rectum
MOM or mineral oil

Front 13

complications associated with episiotomies and lacerations (4)

Back 13

increased blood loss
increased infection risk
increased pain
dyspareunia

Front 14

dyspareunia

Back 14

painful intercourse

Front 15

More likely to occur with subsequent births in women with episiotomies

Back 15

repeat trauma

Front 16

extension to or through the anal spinchter is more likely

Back 16

with midline episiotomy

Front 17

heal more quickly than perineal tears

Back 17

perineal lacerations

Front 18

makes it more likely to that the woman will have deep perineal tears

Back 18

presence of episiotomy

Front 19

shoulder dystocia

Back 19

difficulty delivering shoulder in LGA infant