Thank you. But the Plastic Surgeon's technique of 'skin tissue expansion,' gradual and most importantly painless, skin stretching, applied to the vaginal opening, with the 4 fingers of both hands pulling sideways, over 7 consecutive days, from 26 weeks, achieving 10cm diameter prior to birth, or even up to the second stage of birth, makes the destructive cruel episiotomy totally avoidable/obsolete. As 10cm is the maximal opening of the pelvic outlet. Wikipedia UK 'Perineal massage' being the traditional way of aiding a natural birth, with no damage to mum or baby. It avoids the possibility of death of mum from the complications of an episiotomy: notably, sepsis following 'necrotising fasciitis', and haemorrhagic shock, as the pelvic floor muscles have a good blood supply and bleed briskly and are not sutured immediately by skin-glue, so exacerbate the blood loss of detachment of the placenta in a prolonger labour, with resulting atonic uterus. It is rapidly losing favour, as it is destructive of the pelvic floor muscles, the foundation of the lower abdomen, so worse than FGM, predisposing to prolapse of urinary bladder anteriorly, the large bowel posteriorly and uterus around the menopause, when the uterus enlarges with fibroids and prolapse down through this weak spot and mums describe the intense burning pain when passing urine, every 4 hours, into this full thickness penetrating wound of the lower abdomen, over the first 1 days as it starts to heal, as torture. Yet it is totally avoidable. The associated antibiotic use hastens the day when bacteria will be resistant to antibiotics and invasive routine surgery will be a thing of the past. TH-cam video 'Childbirth explained for kids, from floor to trapdoor to floor, thanks to the property of muscle', ass once the fibrous coat of the pelvic floor muscles has been stretched, the muscles can stretch to 3 times their original length without damage. Epi-no and Aniball birth trainers now exist.
I haven't read any special name of this knot. You need to put this suture one centimeter above the apex of episiotomy then continue simple suturing till junction of vaginal mucosa and skin.
Really made very easy understanding
Perineal tear was different and sutures also changes..so plse do the demo as near to the reality..its helps lot..
Thank you ❤
Show the suturing layer by layer
I have heard of mattress suturing at skin first time for episiotomy , we do either interupted ones or subcutaneous, but thankyou ❤️
Intrupted on skin in epi is very rough producer.
Thank you. But the Plastic Surgeon's technique of 'skin tissue expansion,' gradual and most importantly painless, skin stretching, applied to the vaginal opening, with the 4 fingers of both hands pulling sideways, over 7 consecutive days, from 26 weeks, achieving 10cm diameter prior to birth, or even up to the second stage of birth, makes the destructive cruel episiotomy totally avoidable/obsolete. As 10cm is the maximal opening of the pelvic outlet. Wikipedia UK 'Perineal massage' being the traditional way of aiding a natural birth, with no damage to mum or baby. It avoids the possibility of death of mum from the complications of an episiotomy: notably, sepsis following 'necrotising fasciitis', and haemorrhagic shock, as the pelvic floor muscles have a good blood supply and bleed briskly and are not sutured immediately by skin-glue, so exacerbate the blood loss of detachment of the placenta in a prolonger labour, with resulting atonic uterus. It is rapidly losing favour, as it is destructive of the pelvic floor muscles, the foundation of the lower abdomen, so worse than FGM, predisposing to prolapse of urinary bladder anteriorly, the large bowel posteriorly and uterus around the menopause, when the uterus enlarges with fibroids and prolapse down through this weak spot and mums describe the intense burning pain when passing urine, every 4 hours, into this full thickness penetrating wound of the lower abdomen, over the first 1 days as it starts to heal, as torture. Yet it is totally avoidable. The associated antibiotic use hastens the day when bacteria will be resistant to antibiotics and invasive routine surgery will be a thing of the past. TH-cam video 'Childbirth explained for kids, from floor to trapdoor to floor, thanks to the property of muscle', ass once the fibrous coat of the pelvic floor muscles has been stretched, the muscles can stretch to 3 times their original length without damage. Epi-no and Aniball birth trainers now exist.
Best explanation 👌👏👏👏
thank youu very informative
Thank you for leason about episiotomy siture!
Thanks
Useful.👍
If epi stich open after 4 days can it restich plz reply skin
whats the name of the first knot?
I haven't read any special name of this knot. You need to put this suture one centimeter above the apex of episiotomy then continue simple suturing till junction of vaginal mucosa and skin.
Thank you very much sir
It was very informative
Glad you liked it
Thanx
Super
Thank you very much ... information
So artistic .. Great . I did my part .. See u
background music kyu 😥😥😣😣😣😏😏😏
Anyone here for the practical test?
Thnk you
Thanks pliesa hindi me vidio batao