Layered repair of a mediolateral episiotomy.
Indications
- • After episiotomy
- • 1st/2nd degree tears
Contraindications
- ⚠ 4th degree without trained operator
Equipment
- • Suture pack
- • Vicryl 2-0 rapid
- • Local anesthetic
- • Speculum/retractor
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/6)
Tap to complete
Grade and identify apex of tear.
Immediate complications
- ⚠ Hematoma
- ⚠ Rectal injury
Delayed complications
- • Infection
- • Dyspareunia
Recognition
- • Ongoing bleeding
- • Pain
Initial management
- • Escalate; re-explore
Prevention
- • Adequate anesthesia
- • Apex-first repair
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Drugs used in this procedure
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
