A three stage training system for teaching episiotomy, suturing techniques, and repair of episiotomy and second degree tears. The model was developed in conjunction with Professor Christine Kettle - Professor of Women's Health, University Hospital of North Staffordshire and Staffordshire University (UK) and Mr Khaled Ismail - Senior Lecturer, Consultant Obstetrician and Gynaecologist, Keele Medical School and University Hospital of North Staffordshire (UK).

Stage 1: Episiotomy

A focused model for teaching safe methods of performing episiotomies.

Skills

• Identification of fontanelles
• Handling of a stretched perineum
• Reducing the risk of damaging the baby or mother
• Use of instruments
• Performance of midline or medio-lateral episiotomy

Features

• Realistic representation of tissue to represent a stretched perineum
• Baby Head provides a realistic look and feel providing landmarks and appropriate tactile response when inserting fingers to guard the baby's head
• Cost effective with two episiotomies per pad
• Attaches to the Perineal Repair Base

Stage 2: Perineal Repair Techniques

Based on our popular Professional Skin Pad, the Episiotomy & Perineal Repair Pad prompts trainees to learn to suture on two planes, one of which has the spatial challenges which exists when suturing into the vagina.

Skills (in two planes)

• Making an incision
• Simple and advanced attempted suturing techniques
• Subcuticular undermining
• Subcuticular suturing
• Continuous suturing

Features

• The Episiotomy & Perineal Repair Pad alows suturing techniques to be practised on two planes
• Representation of the anus printed on pad for orientation
• Representation of the hymenal remnant printed on pad to assist in assessment of suturing techniques
• Soft skin with a similar drag and strength to human skin
• Comprises epidermis, dermal and subdermal layer (not muscle)
• Epidermis and dermis have a realistic retention of suture

Stage 3: Perineal Repair Procedures

For the practice of episiotomy and second degree tear repair.

Skills

• Tissue layer identification and handling
• Deep musculature suturing
• Subcuticular suturing
• Superficial suturing
• Identification and management of perineal tears

Features

• The Episiotomy & Perineal Repair Procedure Block represents the following realistic anatomy:
  • perineal skin
  • superficial muscle structure and relevant layer for suturing
• Cost effective - all layers can be sutured repeatedly
• Each Procedure Block presents 3 repair sites (left lateral is preincised, with both midline and right lateral uncut)
• Skin surface is washable using soap and water
• Clamps provided to secure Trainer to edge of bench top

Package supplied

• 1 Episiotomy Incision Pad (Pack of 6) 60451
• 1 Episiotomy & Perineal Repair Pad (Pack of 2) 60452
• 1 Episiotomy & Perineal Repair Block 60453
• 1 Perineal Repair Perineum 60454
• 1 Perineal Repair Techniques Jig 60455
• 1 Perineal Repair Base
• 1 Perineal Repair Block Clip
• 1 Baby Head
• 2 bench top clamps