Episiotomy in Assisting Delivery

Episiotomy is an incision made into the perineum to enlarge vaginal outlet and facilitate delivery.
The different types of episiotomy are median and mediolateral:
Median commonly used, safer and less painful.
Mediolateral has no risk of extending to rectum but with greater blood loss, difficult to repair, and healing is painful.

After episiotomy, assess for REEDA (redness, edema, ecchymosis, discharge, approximation), hematomas, and pain.

Main nursing diagnosis for episiotomy is Pain

Nursing Care for episiotomy includes pain measures, peri-care, and incision care

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