Episiotomy & Repair During Vaginal Delivery


An episiotomy may be required when there is a threatening tear during vertex vaginal delivery to prevent perineal tear, during instrumental delivery (vacuum and forceps) and also during a vaginal breech delivery. Three types of episiotomy would be discussed.


The resource includes videos lessons, an animation clip and interactive exercises to explain further, the procedure in episiotomy and repair.

Author(s): R. Adanu & N. C. EngelbergView Details of Author
Year: 2009
Keywords: episiotomy, vaginal repair, delivery
Licensing Condition:

cc-by-nc© 2009, University of Ghana

Unless otherwise noted, the content of this programme is licensed under the terms of a Creative Commons Attribution-NonCommercial 3.0 Unported License.



Any medical information in this material is intended to inform and to educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition.

Viewer discretion is advised: The educational material contained herein may contain medical images that non-professional viewers may find disturbing.


The patients who appear in this programme freely gave their consent for the authors to use their images for educational purposes. Where real patients were filmed or photographed, we have not shown their faces or other identifiable features.





This resources looks at performing and repairing an episiotomy. The programme has video lessons showing the stages/procedure of performing and repairing an episiotomy.  Included is an animation clip that shows how to perform an mediolateral episiotomy. 


A self-assessment quiz is available for you to assess yourself on the lessons.





The objective of this course is to help:

Students to understand the procedure in performing and repairing an episiotomy during vaginal delivery.


Lesson Content





Self Assessment Quiz




Dr. Richard Adanu
Department of Obstetrics & Gynecology,
University of Ghana Medical School and the,
Korle-Bu Teaching Hospital


N. Cary Engleberg, M.D.

Professor of Internal Medicine
University of Michigan Medical School
Ann Arbor, Michigan USA




This programme was produced with support from the following: