title: How to repair an episiotomy.
abstract: Rationale and key points Skilful repair of an episiotomy is an important aspect of maternal health care. It is essential that midwives and doctors have the knowledge and skills to undertake this procedure in a safe and effective manner. ▶ An episiotomy should be repaired promptly to reduce blood loss and prevent infection. ▶ Repair of an episiotomy is undertaken in three stages: repair of the vaginal mucosa, repair of the muscle layer and repair of the skin layer. ▶ Adequate pain relief should be provided before suturing. Reflective activity Clinical skills articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: 1. Why a rectal examination is recommended before and following repair of an episiotomy. 2. What you would do to improve your suturing skills. 3. The factors that may prevent or delay an episiotomy from healing. Subscribers can upload their reflective accounts at rcni.com/portfolio .
authors.affiliation: School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, Adelaide, Australia.
authors.forename: Mary
authors.initials: M
authors.lastname: Steen
authors.affiliation: Women's and Babies Division, SA Health, Government of South Australia, Adelaide, Australia.
authors.forename: Bernie
authors.initials: B
authors.lastname: Cummins
mesh_terms: D036861:Delivery, Obstetric / Q000379:methods; D004841:Episiotomy; D005260:Female; D006801:Humans; D059408:Pain Management / Q000379:methods; D010502:Perineum / Q000293:injuries*; D011247:Pregnancy; D013537:Sutures
keywords: childbirth; clinical procedures; clinical skills; episiotomy; episiotomy repair; midwifery practice; pain relief; perineal trauma; suturing