Presentation Information

Eriko Shinohara

Protection of the Perineum and Alternative to Suturing in Japanese Midwifery Practice

  • Speaker: Eriko Shinohara , Ph.D, CNM, RN, PHN
  • Presentation Type:
  • Duration: 60 Mins
  • Credits: 1 Nursing CEU, 1 CME, 0.1 Midwifery CEU

In Japan, midwives are not allowed to suture, except for in emergencies. In this presentation we will discuss the practice of “waiting” and supporting the natural process that allows a woman to birth her baby gently. We also will be discussing practical skills that help prevent lacerations via a gentle hands-on technique. In cases when the midwife does need to intervene, the internal exam should be minimal and gentle to prevent perineal edema and laceration. In this presentation we will be introduced to the kurenme birth clip. These small metal clips have been used by Japanese midwives for many years to treat perineal tears and as an alternative to suturing of small tears that could otherwise cause additional trauma to the area. In this presentation, we will overview and learn how to use the birth clip in a clinical situation.