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CONFERENCE PROCEEDING
Perineal integrity and perineal repair after childbirth: A basic suturing workshop for midwives
1
Frontier Nursing University, Midwifery and Women's Health, Versailles, United States
Eur J Midwifery 2026;10(Supplement 1):A1069
ABSTRACT
THE LEARNING OUTCOMES:
Describe perineal anatomy with particular detail of the perineal body. Define classifications of perineal lacerations. Identify two indications for surgical repair of perineal trauma. Demonstrate basic surgical skills, including aseptic technique and handling surgical instruments. Choose a suture and needle for the laceration type. Perform instrument ties. Perform repair of perineal laceration on foam and perineal models.
THE PROCESS/ACTIVITIES:
Review (15 minutes) Perineal anatomy Classifications of perineal lacerations Indications for repair of lacerations Varieties of suture and needles for the repair of lacerations Practice knot tying. (15 minutes) Practice second-degree perineal repair (50 minutes) Discuss post-repair assessment of hemostasis and approximation. Workshop wrap-up (10 minutes)
AUDIENCE PARTICIPATION:
This is a hands-on workshop designed for midwives needing to learn or review suturing skills, providing hands-on practice of suturing techniques using silicone pads and foam models. Additional reading Alaya F, Worrall AP, Farah N, Eogan M, Monteith C, Salameh F. Optimizing and enhancing perineal repair knowledge and teaching among obstetricians and midwives: A prospective three‐site study. International Journal of Gynecology &Obstetrics. 2025:1. doi:10.1002/ijgo.70130 2. Laderas Díaz E, Rodríguez-Almagro J, Picón Rodríguez R, Martínez Galiano JM, Martínez Rodríguez S, Hernández-Martínez A. Midwives' approach to the prevention and repair of obstetric perineal trauma in Spain. Nurs Open. 2024 Apr;11(4):e2160. doi:10.1002/nop2.2160 3. Hoque AM, Buckus S. Incidence and risk factors of perineal tears of pregnant women delivering at a midwife obstetric unit in South Africa. Nepal Journal of Obstetrics & Gynaecology. 2021;16(2):60-68. doi:10.3126/njog.v16i2.42102 4. Jones L, Magill L, MacArthur C, et al. Outcomes of suture material, suture technique, and tissue adhesives for repair of childbirth-related perineal trauma: A systematic review and meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2025;312. doi:10.1016/j.ejogrb.2025.114086 5. Schmidt PC, Fenner DE. Repair of episiotomy and obstetrical perineal lacerations (first–fourth). American Journal of Obstetrics & Gynecology. 2024;230:S1005-S1013. doi:10.1016/j.ajog.2022.07.005
Describe perineal anatomy with particular detail of the perineal body. Define classifications of perineal lacerations. Identify two indications for surgical repair of perineal trauma. Demonstrate basic surgical skills, including aseptic technique and handling surgical instruments. Choose a suture and needle for the laceration type. Perform instrument ties. Perform repair of perineal laceration on foam and perineal models.
THE PROCESS/ACTIVITIES:
Review (15 minutes) Perineal anatomy Classifications of perineal lacerations Indications for repair of lacerations Varieties of suture and needles for the repair of lacerations Practice knot tying. (15 minutes) Practice second-degree perineal repair (50 minutes) Discuss post-repair assessment of hemostasis and approximation. Workshop wrap-up (10 minutes)
AUDIENCE PARTICIPATION:
This is a hands-on workshop designed for midwives needing to learn or review suturing skills, providing hands-on practice of suturing techniques using silicone pads and foam models. Additional reading Alaya F, Worrall AP, Farah N, Eogan M, Monteith C, Salameh F. Optimizing and enhancing perineal repair knowledge and teaching among obstetricians and midwives: A prospective three‐site study. International Journal of Gynecology &Obstetrics. 2025:1. doi:10.1002/ijgo.70130 2. Laderas Díaz E, Rodríguez-Almagro J, Picón Rodríguez R, Martínez Galiano JM, Martínez Rodríguez S, Hernández-Martínez A. Midwives' approach to the prevention and repair of obstetric perineal trauma in Spain. Nurs Open. 2024 Apr;11(4):e2160. doi:10.1002/nop2.2160 3. Hoque AM, Buckus S. Incidence and risk factors of perineal tears of pregnant women delivering at a midwife obstetric unit in South Africa. Nepal Journal of Obstetrics & Gynaecology. 2021;16(2):60-68. doi:10.3126/njog.v16i2.42102 4. Jones L, Magill L, MacArthur C, et al. Outcomes of suture material, suture technique, and tissue adhesives for repair of childbirth-related perineal trauma: A systematic review and meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2025;312. doi:10.1016/j.ejogrb.2025.114086 5. Schmidt PC, Fenner DE. Repair of episiotomy and obstetrical perineal lacerations (first–fourth). American Journal of Obstetrics & Gynecology. 2024;230:S1005-S1013. doi:10.1016/j.ajog.2022.07.005
| eISSN: | 2585-2906 |
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