EPISIOTOMY

• Incision made into the perineum to enlarge vaginal outlet and facilitate delivery.
• Types 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 the procedure, assess for REEDA (Redness, Edema, Ecchymosis, Discharge, Approximation), hematomas, and pain.
• Main nursing diagnosis: Pain.
• Nursing Care include: Pain measures, peri-care, incision care.