MDWF 2090 Suturing, 3 cr.
(2 academic credits/1 clinical)
PRE-REQUSITE: MDWF 2010 and CLCN 2010
At the completion of this course, the student will be able to demonstrate knowledge and skills in checking for and identifying first through fourth degree tears, and other types of pelvic damage. Students will learn the appropriate use and repair of episiotomies, forms, and usage of anesthetic agents, how to tie off and postpartum repairs appropriate for the midwife in an out-of-hospital setting. Case studies are utilized to demonstrate the application of clinical judgment and management within the scope of care of the Certified Professional Midwife.
NOTE: There is a charge associated with this course to supplement fees associated with the multimedia materials provided.
Learning Objectives:
1. Explain the pelvic muscular anatomy and how it relates to clinical care through the childbearing childbirth and repair
2. Evaluate pelvic floor disorders and choose treatment plan
3. Identify and recommend treatment for an inclusion cyst
4. Appraise and implement techniques to prevent tears in childbirth
5. Evaluate appropriate need for an episiotomy
6. Compare and contrast anatomical impacts from a medial and medio-lateral episiotomy
7. Describe procedural tools and steps for correct episiotomy technique to perform an episiotomy
8. Compile a ‘suture kit’ that identifies appropriate suturing materials and equipment
9. Identify when a client is stable enough to begin repair
10. Assess characteristics to properly identify/classify various wounds
11. Develop repair plans that are clinically appropriate for the different lacerations (including transfer or not suturing)
12. Demonstrate the set up and maintaining of sterile and clean fields
13. Demonstrate tying knots using one handed, two handed and instrument techniques
14. Demonstrate anchor, interrupted, continuous, locked mattress, subcutaneous/running mattress and figure 8 stitches
15. Select and administer an appropriate anesthetic agent
16. Explain technique to tie off a bleeding vessel
17. Perform first, second, skin tag, labial tear repairs
18. Analyze principles of wound healing and be able to distinguish between physiologic healing and pathologic repair
breakdown or infection
19. Recognize third- and fourth-degree tears and implement care protocol.
20. Recognize cervical tears and implement care protocol.
21. Enact informed consent
22. Demonstrate documentation of a repair
Course Catalog - Midwives College of Utah. (n.d.). Midwives College of Utah. Retrieved April 5, 2023, from https://www.midwifery.edu/course-catalog/