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Suturing Techniques.


Healing Passage: A Suturing Manual for Midwives and Suturing Techniques Video

Available from Moonflower moonflower: see morning glory.  Birthing Supply, PO Box 128, Louisville, CO 80027. $69 ppd for both; $27.50 ppd for the manual only.

The newly published fourth edition of Healing Passage by Anne Frye is the definitive manual on suturing for practicing midwives, apprentices and even medical students and doctors.

The book contains clearly written and illustrated material on everything one needs to know, from basic principles and techniques through assessing genital damage and repairing all four degrees of tears. Unusual repairs and other problems are discussed in detail, along with postpartum care for the mother.

The book by itself is a tremendous gift to midwifery midwifery (mĭd`wī'fərē), art of assisting at childbirth. The term midwife for centuries referred to a woman who was an overseer during the process of delivery. In ancient Greece and Rome, these women had some formal training.  education, but the video makes it possible to really understand and practice the techniques involved. The three-dimensional presentation of anatomy clarifies the layers of the pelvic floor The pelvic floor or pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis.  musculature musculature /mus·cu·la·ture/ (mus´kul-ah-cher) the muscular apparatus of the body or of a part.

mus·cu·la·ture
n.
The arrangement of the muscles in a part or in the body as a whole.
 in a way that is impossible to achieve with books. All of the various techniques of knot tying Knot tying consists of the techniques and skills employed in tying a knot in rope, nylon webbing, or other articles.

The tying of a knot may be very straightforward (such as with an overhand knot), or it may be more complicated, such as a monkey's fist knot.
, administering anesthetic and repairing tears are clearly demonstrated using foam models. The student is encouraged to stop the tape and master each technique before moving on.

The video would be ideal for study groups to work through--extra copies of the manual can be purchased for use with the same video. The only thing the video lacks is talking about/demonstrating what is involved in working on a real woman and discussion that "repair of the anal sphincter anal sphincter
n.
Either of the two sphincter muscles of the anus. See under external and internal sphincter muscle of anus.
 is a serious responsibility....If the repair is done incorrectly or heals poorly, the woman could be partially or completely incontinent in·con·ti·nent
adj.
1. Lacking normal voluntary control of excretory functions.

2. Lacking sexual restraint; unchaste.
 of feces for life." However, both of these topics are covered in detail in the book, and the video is not meant to stand alone.

Anne and I were midwifery partners when she first developed her suturing workshop, manual for midwives and lab work book in 1980. It's a pleasure to see both of these works achieve the maturity of an opus magnum. Anne's contributions to midwifery education are of unique value and have an integrity of being women-centered and midwifery-centered which places them on the healing edge of women's consciousness and the midwifery movement. Thanks, Anne!

At $69, the video and manual are a steal. Buy them now in case she heeds our advice and raises the price!

PHOTO : Locked stitches to level of hymenal hy·men  
n.
A membranous fold of tissue that partly or completely occludes the external vaginal orifice.



[Late Latin hym
 ring
COPYRIGHT 1991 Association of Labor Assistants & Childbirth Educators
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1991, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Publication:Special Delivery
Article Type:Video Recording Review
Date:Jun 22, 1991
Words:387
Previous Article:Healing Passage: A Suturing Manual for Midwives, 4th ed.
Next Article:Modern Moves for Pregnancy Fitness.
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