About the Course

In the United Kingdom, 70% of women who have a vaginal birth suffer perineal trauma with 60-70% requiring suturing. It is essential that midwives and doctors are up to date in its evidence-based management to improve wound healing and reduce the risk of long-term complications. In this course, Dr. Dan Selo-Ojeme examines perineal repair in detail, taking the viewer step by step from anatomy through suturing technique to aftercare, culminating in a methodology to achieve a successful repair. This course is an absolute must for midwifery students, midwives, and clinicians.

About the Author

Mr. Dan Selo-Ojeme

Consultant Obstetrician and Gynecologist

Dr Dan Selo-Ojeme is a Consultant Obstetrician and Gynaecologist at the Royal Free London NHS Trust with a special interest in urogynaecology vaginal prolapse and advanced pelvic floor/vaginal reconstructive surgery.He graduated from the University of Ibadan in 1980 and came to the UK in 1997 after postgraduate training in Obstetrics and Gynaecology where he received a Gold Prize Award. He had further training in the UK. He is passionate about clinical education, and in particular perineal repairs and to date, has taught over 2500 midwives from over 90 hospitals spread across the UK. He is an award-winning clinical researcher with over 70 peer-reviewed publications.He has practicing rights at the BMI Kings OAK and Cavell hospitals in Enfield.

Course Curriculum

  • 1

    1. Introduction

    • Course welcome

    • Aims of the course

    • Perineal Repair Pre-Course Assessment

  • 2

    2. Essential Anatomy

    • Overview

    • Key vaginal landmarks

    • Perineal muscles
  • 3

    3. Perineal Trauma and Complications

    • Introduction to perineal trauma

    • Classification of injury

    • Complications

    • Communication with family doctor (GP)
  • 4

    4. Perineal Repair

    • Introduction to perineal repair

    • Current practice

    • What you need to know
  • 5

    5. Surgical Knots and Instruments

    • Introduction to surgical knots

    • Practical demonstration

    • The needle holder

    • Scissors

    • Forceps

    • Knot tying

    • Knot tying with instruments

    • Handling the suture needle

    • Stages of repair
  • 6

    6. Practical Demonstration

    • A practical demonstration

    • Identifying the apex

    • Suturing the apex

    • Repairing the vagina wall

    • Repairing the perineal muscles

    • Repairing the perineal skin

    • At the end of the repair
  • 7

    7. Summary

    • What have we achieved so far?

    • Summary of course outline

    • Dr Dan Selo-Ojeme