#

EPISIOTOMY

#

-

Asurgically

planned

incision

on

the

perineur

&

or

the

posterior

was

of

vagina

deving

the

and

stage

of

labour

.

-

ale

perineotomy

-

Infect

a

20

dyre

pained

injury

objective

:

-Tocalarge

vaginal

introids

To

minimize

owrsmething

&

ryptune

of

perive

musched

facia

.

-

Reduc

shes

stair

on

fealhead

.

Indications

:

(Selective

cases

(

I

Common

indications

:

-

In

electic

or

rigid

perineum

threatened

pained

injury

-

Anticipating

perince

tear

~

Rigid

perineurs.

-

operatio

delivery

=

forceps

delivery

,

ventoust

delivery

forups

,

bruch

,

op

or

for

delivery

.

-

Punious

perinea

surgery

Timing

:

- I

done

early

:

Mon

blood

Los

-of

done

late

:

Invisible

laurations

of

paincal

body

+

Damage

of

prenic

floor

-

Just

prior

to

clowning

=

Perinum

Him

-

Owing

fuceps

cluivey

:

after

the

application

of

seads

Advantages

:

-

Materal

:

-

clear

&

wonholled

invision

->

easy

to

repair

&

hels

better

L

L

shortening

the

duration

of

2nd

staye

of

labow

Reductive

of

fraume

to

pelui,

floor

-

fetal

=

↓

intracranial

injury

lopecially

dring

bruch

(