When suturing the perineum, it is important to consider all of the following:
a. Always ensuring there is no dead space to prevent haematoma formation, using the least amount of suture material possible and not overtightening sutures as this can cause the tissues to become hypoxic and delay healing.
b. Always ensuring there is no dead space to prevent haematoma formation, using the largest amount of suture material possible and not overtightening sutures as this can cause the tissues to become hypoxic and delay healing.
c. Always ensuring there is no dead space to prevent haematoma formation, using the least amount of suture material possible and ensuring the sutures are tight enough to ensure adequate haemostasis.
d. Always ensuring there is no dead space to prevent haematoma formation, using the least amount of suture material possible and ensuring the sutures are tight enough to ensure adequate haemostasis.
Question 2
A recent Cochrane systematic review found that pregnant women without prior urinary incontinence
who were randomised to intensive antenatal pelvic floor muscle exercises (PFME) were less likely to report urinary incontinence in late pregnancy and up to 6 months postpartum than women randomised to:
a. usual antenatal care.
b. no PFME or usual antenatal care.
c. no PFME.
Pelvis & Perineum 2
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