Emergency Childbirth: Laceration Repair

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Emergency Childbirth: Laceration Repair is a definitive 47-page booklet that teaches and, through Steve Keele’s beautifully-clear and meticulous illustrations, demonstrates how to repair a birthing mother’s commonly-occurring lacerations in an emergency situation. Dianne Bjarnson, the author and well-known pioneering Utah midwife, calls on her extensive and rich practical experience and decades of intensive research on the subject to present an exhaustive compilation of how to deal with just about every kind of laceration and presentation issue one could encounter in emergency birthing situations. To give you an idea of the breadth of topics Dianne covers, here is the booklet’s table of contents:

• Chapter 1: Suturing Guide
  • Importance of Laceration Repair
  • Who Should Do the Suturing?
  • Learning to Suture
  • Suturing Procedures
  • Proper Perineal Care After Suturing
• Chapter 2: Suturing Equipment
  • Instruments
  • Suture
  • Needles
  • Deadening Agents
• Chapter 3: Assessing Damage
  • External Female Genitals (Vulva)
  • Superficial Pelvic Floor Muscles
  • Deep Pelvic Floor Muscles (Levator Ani)
  • Central Point of the Perineum
  • Anal Sphincter Complex
  • Classification of Damage
• Chapter 4: Knots and Stitches
  • Proper Stitch Placement, Depth and Tension
  • Three or Four Throw Square Knot
  • Interrupted Stitches
  • Knots for Running Stitches
  • Running Stitches
• Chapter 5: Repair
  • Make a Plan
  • Repair of First-Degree Lacerations
  • Repair of Second-Degree Lacerations
  • Repair of Third-Degree Lacerations
  • Repair of Fourth-Degree Lacerations
• Chapter 6: Other Methods
  • Dr. Christopher’s Burn Paste
  • Sunstone Formula’s Knit-It Paste
  • Seaweed
  • Tissue Adhesives
  • Female Genital Mutilation (FGM)
  • Obstetric Fistulas
• Chapter 7: References
  • Suturing
  • Fistulas and Genital Mutilation

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This suturing booklet is part of a textbook that Dianne is writing on emergency childbirth.