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Product No. 60450

Perineal & Episiotomy Repair Trainer

£635.00 Price does not include taxes or delivery

A staged training system for teaching

1 Episiotomy: a simplified model for teaching safe methods of episiotomy

2 Perineal Repair Techniques: the episiotomy and perineal repair pad prompts trainees to learn to suture on 2 planes, one which has spatial challenges which exist when suturing within the vagina. It comprises of an epidermis, dermal and subdermal layer

3 Perineal Repair Procedures: for the practice of episiotomy and second degree tear repair.

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). 

Features

Overview

  • Episiotomy Pad
    • Cost effective with 2 episiotomies per Incision Pad
  • Episiotomy & Perineal Repair Pad
    • Allows suturing techniques to be practiced on 2 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
  • Episiotomy & Perineal Repair Block 
    • With 3 repair sites (left lateral is pre-incised, with both midline and right lateral uncut)
    • Cost effective as all layers can be sutured repeatedly
  •  Clamps provided to secure trainer to edge of bench top

Realism

  • Episiotomy Pad
    • Realistic representation of tissue to represent a stretched perineum
    • Baby head has realistic look and feel, providing landmarks and appropriate tactile response when inserting fingers to guard the baby’s head
  • Episiotomy & Perineal Repair Pad 
    • 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

Versatility

  • The trainer frame can be used with the FGM Deinfibulation Upgrade Kit (60473)

Cleaning

  • Skin surface is washable using soap and water

Safety

  • Contains latex

Anatomy

  • Realistic Perineal skin
  • Realistic superficial muscle structure and relevant layers for suturing
Skills

Skills Gained

Stage 1 Episiotomy:

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

Stage 2 Perineal Repair Techniques:

  • Suturing in two planes (inside vagina and on the perineum)
  • Suturing techniques (continuous, subcuticular and knot tying)

Stage 3 Perineal Repair Procedures:

  • Tissue layer recognition and handling
  • Vaginal mucosal suturing
  • Deep muscle suturing
  • Subcuticular suturing
  • Identification and management of perineal tears
  • Enables digital rectal examination before and after repair

Evidence

Objective structured assessment of technical skills for episiotomy repair.
Nielsen, P. E. M. F.; Lisa M. MD; Mandel, Lynn S. PhD; Chow, Gregory E. MD (2003). "Objective structured assessment of technical skills for episiotomy repair." American Journal of Obstetrics & Gynecology 189(5): 1257-1260.

Perineal Assessment and Repair Longitudinal Study (PEARLS): protocol for a matched pair cluster trial

Bick, D.E., Kettle, C., Macdonald, S., Thomas, P.W., Hills, R.K., Ismail, K.M.K., "Perineal Assessment and Repair Longitudinal Study (PEARLS): protocol for a matched pair cluster trial", (2010), BMC Pregnancy and Childbirth, 10 :10


Contains
  • Product Image

    Episiotomy Incision Pad (Pack of 6)

    Product No. 60451

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  • Product Image

    Episiotomy & Perineal Repair Pad (Pack of 2)

    Product No. 60452

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  • Product Image

    Episiotomy & Perineal Repair Block

    Product No. 60453

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  • Product Image

    Perineal Repair Perineum

    Product No. 60454

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  • Product Image

    Perineal Repair Techniques Jig

    Product No. 60455

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  • Product Image

    Perineal Repair Frame & Clip

    Product No. 60456

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  • Product Image

    Baby Head for Perineal & Episiotomy Repair Trainer

    Product No. 60457

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  • 2 Bench top clamps

    2 Bench top clamps

  • Carry case

    Carry case

Curriculum

References

Obstetric Training

RCOG Core Module 12: Postpartum Problems (the Puerperium)  Clinical Competency: .....Perineal and vaginal tears

Undergraduate Nursing

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