Episiotomy in Hindi | Perineotomy | Nursing Lecture

Episiotomy is a planned incision on the perineum and in the posterior vaginal wall during the second stage of labor to ease the delivery whether it is spontaneous or by manipulative means, here it is explained in Hindi.
Indications are -
1. Big baby
2. Rigid perineum in elderly primigravida
3. Breech presentation
4. Shoulder dystocia
5. Forceps & ventouse application
6. Persistent OP position
Timing for episiotomy -
At the peak of uterine contractions when the head is visible about 3-4 c.m., just before the crowning, & the perineum becomes thinned & bulging is the ideal time to give incision.
Types of Episiotomy -
1. Median
2. Mediolateral
3. Lateral
4. J shaped
5. Inverted T shaped
Mostly performed is mediolateral type.
Structures to be cut in episiotomy are -
(1) Posterior vaginal wall
(2) Superficial and deep transverse perineal muscles
(3) Bulbospongiosus Rarely levator ani
(4) Perineal vessels and nerves
(5) subcutaneous tissue and skin
Repair is done by the suture material -
Chromic catgut Or Vicryl (polyglactin 910)
1. Vaginal mucosa sutures first
2. Perineal muscle
3. Skin & subcutaneous tissue
00:00 What is Episiotomy /Perineotomy
01:22 Indication for Episiotomy
03:18 Timing of Episiotomy
04:48 Types of Episiotomy
09:32 Procedure Of Episiotomy
12:05 Structures to be cut in Episiotomy
12:58 Episiotomy Repair
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[@PrabhatNoWay]

Thank-you ma'am!
Have my exam tomorrow and this video of your saved many hours of mine.

[@skheenanadaf7636]

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[@saurabh_sahani]

Thanku maam .iam waitng your lecture at very soon 🎉

[@pratibharajak5124]

Very nice explanation mam..☺️

[@ramkumarmalinda2000]

Thanks madam ji fantastic teaching

[@jyotipal9686]

Very nicely explained.

[@ramkumarmalinda6343]

Please tell me boss about 5,o and 7,o clocks direction in mediolateral epistomy how can we understand that is 5,o and 7,o clock direction

[@gokusamurai2502]

I m mbbs final year student,,, it's very helpful for my obstetrics posting. Thank u. Mam

[@dr.vandana5296]

Nicely explained 👌👍

[@flortejada.4027]

Dr. Living well, I have so much respect you are amazing. Thank you!

[@NursingLecture]

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Love from kashmir mam stay blessed ❤😊

[@NursingLecture]

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😊

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Thank you so much
It is because of you that I got interested in studying gyne obs

[@NursingLecture]

Great to hear that ☺️😊💖 Thanks 😊

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Mam aap bahut achhe se batate ho sab kuchh cover ho jata hai thank you mam 🙏🙏🙏🥰🥰

[@NursingLecture]

Thanks a lot ☺️🤗💖❤️

[@drkhan6387]

Helpful video 👍

[@user-vb4rb4wz8s]

Mam bhaut acha samjhya

[@iramkhan7837]

Thnks, your way of explained too good.

[@NursingLecture]

Most welcome 😊

[@skheenanadaf7636]

Aap ki hindi super mam

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[@NursingLecture]

Loved you

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💯

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Ty ma'am ☺️

[@medical_made_easy]

U teach so well Mam thank you so much ❤

[@NursingLecture]

Thanks a lot 😊 Most welcome ❣️

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Tq ma'am ❤️

[@Sofiasalar]

Perfect lecture ❤

[@NursingLecture]

Glad you think so!

[@TufailAhmad-xe4hx]

Excellent teaching ,Madam

[@NursingLecture]

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[@sandhyamasade6508]

Tq mam clear explanation tq

[@deepikajoshi3810]

Thank you 🙏😊 Madam you are great 👍 mam

[@NursingLecture]

Most welcome 😊

[@dishakathad402]

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Thankyou mam

[@kihojhimo2666]

Improve alot thank you mam ❤

[@NursingLecture]

Most welcome 😊

[@ashabasak1100]

Such a help video ♥️

[@NursingLecture]

Thanks a lot ☺️

[@SR-rs3ce]

Tq maam 🙏🙏🙏

[@kaneezfatema6462]

Very well explained to 👍👍👍

[@NursingLecture]

Thank you very much 🙏😊

[@kakuldaksh8463]

Such a good explaNation ! 🌻

[@NursingLecture]

Glad it was helpful!

[@dilrubaakhtar9402]

Mam
Gynae & obstratric mqc plzz

[@user-xl7dz6gp2t]

I think c section is better after watching this

[@sejalbenprajapati3697]

Nice

[@39-shwetayadav57]

Thank u so much ma'am 💞

[@NursingLecture]

Most welcome 😊

[@shaileshchouhan1600]

Mam ye ab routine procedure hi ho gya hai

[@NursingLecture]

Yes, it is

[@khokherkavita6535]

Mam hum ko dady stich or husband stich k bary bi bato na...

[@Gopinathan0001]

Thank mom..

[@NursingLecture]

Always welcome

[@satyarupabind2656]

Thank you so much ma'am

[@NursingLecture]

Most welcome 😊

[@kshipra4504]

Can someone develop haemorrhoids because of normal delivery?

[@PriyankaKumari-yt4fe]

Thaek you mam

[@NursingLecture]

Most welcome 🙏 🤗

[@shashijaiswal3357]

Thanks

[@NursingLecture]

Welcome 😊🙏

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Thank you mam 👍

[@NursingLecture]

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[@nanshiverma7725]

Thanks mam 👌....

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Nice mam

[@NursingLecture]

Welcome 😊🙏

[@Shahinkhan12146]

❤

[@arfakamal7458]

Nicely explain

[@NursingLecture]

Thank you 😊🙏

[@roliyadav1216]

Thank you mam

[@NursingLecture]

Most welcome 😊

[@future_ayurveda_207]

❤❤

[@bakhtawarakbar5855]

Mujhe back pain hota hai .. episiotomy k bad kiya reason hai .. or periods bhi ruk ruk k phir ajate ?

[@NursingLecture]

Please consult your doctor

[@MommaIbrahim]

HELP.
It's been 21 days I delivered my baby on 18th march at CMH Rawalpindi. It was a normal delivery and episiotomy (mediolateral). 15 stitches. Still my periods are not over. Last week it was brownish then yellow discharge like always come after periods but after 2 days periods again started with small thin blood clots. It started after I sat in luke warm water mixed alum tub. Is it normal to bleed like this???

[@NursingLecture]

If bleeding amount is less then not to worry, if more then consult your Dr.

[@rajiravi1724]

Hi mam...pls post in english ...tht wil more help us...i like ur way of explaining..thank u

[@NursingLecture]

IT is available

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Nice explanation mam

[@NursingLecture]

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[@ShayeriNT]

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[@rathodlaxmi3386]

Tq you mam

[@NursingLecture]

You’re welcome 😊

[@kumarisweety9901]

MAM PAID CLASS BHI KARBATE H KY

[@skheenanadaf7636]

Nursing management of mothers high risk of pregnancy boliye mam

[@NursingLecture]

Sure will cover

[@aanchalmaurya3637]

Thank mam

[@NursingLecture]

Most welcome 😊

[@PoojaSharma-vy3xo]

Mam mindwifiry ke other topics pr lecture vdo bnaiye please

[@NursingLecture]

Sure, keep watching. 👍

[@PoojaSharma-vy3xo]

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[@user-hy1ic9fr6l]

Thank uu mam🥹

[@NursingLecture]

Most welcome 🙏

[@pratibhasingh2608]

make video on shoulder dytosia

[@NursingLecture]

Sure 👍

[@pratibhasingh2608]

ma'am please try to cover one topic in one video

[@NursingLecture]

Than video will be long and boring 😊

[@roliyadav1216]

Good afternoon mam

[@arkan0118]

thank you mam for halping me

[@NursingLecture]

It's my pleasure, Thanks 😊

[@sakshisuman6907]

Nerves cut hone k bad wo phir thik ho jata h??

[@NursingLecture]

Takes time

[@AmanpreetKaur-yz7um]

can you tell how to avoid epiodotomy?

[@NursingLecture]

Sorry, this not a disease to be avoided, if anywhere the dr.felt that the perineum can lacerate then surely episiotomy could be performed by physician.

[@khokherkavita6535]

Mam aap na forceps delivery p video bano na

[@NursingLecture]

👍

[@soni-ri3bg]

Agr anus sphincter bhi include ho jata h to kya mam wo theek to ho jata h na ??

[@NursingLecture]

Yes, it is manageable

[@soni-ri3bg]

@@NursingLecture manageble means usme stitches lgte h then

[@39-shwetayadav57]

🙏🏻🙏🏻🙏🏻🙏🏻😘😘😘

[@NursingLecture]

Most welcome 🙏 🤗 ☺️

[@roligangwar3414]

Hlo ma'am

[@ushanegi9134]

Ectopic pregnancy....

[@khokherkavita6535]

Hello mam aaj humera exam m ek question aaya aap answer batya muje nahi Milla.... After 36 weeks of pregnancy, uterine shap becomes.......

[@NursingLecture]

Globular

[@khokherkavita6535]

@@NursingLecture thanku mam bt maine fetal head likha h

[@SweetyKumari-xe4ie]

Nice

[@NursingLecture]

Most Welcome, Thanks