Table of Contents
REQUIREMENTS #
- Suturing materials (Chronic cutgut)
- Sterile swabs
- Tampoule
- Vaginal pads
- Suture handle
- Suturing scissors
- Good light source
- Anaesthetic agent
STEPS #
- Establish rapport to mother (Refer steps)
- Explain procedure (Refer steps)
- Mobilize the necessary resources
- Help the woman lie on her back with her knee bent
- Position the woman’s buttocks at the edge of the bed or table. Her legs may be supported by stirrups or held up by an assistant
- Remove any soiled cloths from under her; then wash her genitals
- Help the woman void or insert a catheter to empty the bladder
- Scrub hands and put on sterile gloves
- Place a sterile or very clean towel or cloth under her buttocks. Place a tampon or gauze into the vagina if needed to keep blood off the area you are suturing
- Have an assistant evaluate vital signs every 15 minutes
- Have an assistant assess and massage the uterus, as necessary, during the procedure
- Fill a 10ml syringe with 1% lignocaine without epinephrine. If only 2% lignocaine available draw 5ml of sterile water and 5ml of lignocaine to make a 1% solution
- Pack the vagina with a gauze in order to prevent blood trailing into the wound
- Look carefully at the shape of the laceration and insert the needle point at the end or corner of the laceration
- Run it the length of the wound along the line where the suture needle will be either entering or exiting
- Pull back on the plunger of the syringe to check for blood and inject evenly as you withdraw the needle just below the skin
- Medication injection is stopped while the needle is redirected along another line of projected suturing, and the process is repeated until the entire are of possible pain is anesthetized
- Wait a minute or two to allow the medication to take effect before starting to sew the laceration
- Touch the laceration with the sharp point of a needle to make sure the anesthetic is working
- Start suturing if an anesthetic agent is working using the following technique
