Episiotomy Check List
Episiotomy Check List
Episiotomy Check List
Rate the performance of each step or task observed using the following rating scale:
1. Needs Improvement: Step or task not performed correctly or out of sequence (if necessary) or
is omitted
2. Competently Performed: Step or task performed correctly in proper sequence (if necessary)
but participant/student does not progress from step to step efficiently
3. Proficiently Performed: Step or task efficiently and precisely performed in the proper
sequence (if necessary
STEP/TASK
CASES
GETTING READY
1. Prepare the necessary equipment
2.Tell the woman what is going to be done and encourage her to ask questions
3. .Listen to what the woman has to say
4. Make sure that the woman has no allergies to lidocaine or related drugs
5. Provide emotional support and reassurance, as feasible
ADMINISTERING LOCAL ANESTHETIC
1. Cleanse perineum with non alcohol antiseptic solution.
2. Draw 10 ml of 0.5% or 1% lignocaine / lidocaine into asyringe:
(To prepare 0.5% from 2% lignocaine –draw 2.5ml Lignocaine and
draw 7.5ml of water for injection.
To prepare 1% from 2% lignocaine: 5ml lidocaine and 5ml sterile
Water)
3. Place two fingers into vagina along proposed incision line (medio-
lateral direction).
4. Insert needle beneath skin for 4–5 cm following same line.
5. Draw back the plunger of syringe to make sure that needle is not in a
blood vessel:
If blood is returned in syringe, remove needle, recheck position
carefully, and try again;
If no blood is withdrawn, continue as follows.