This video “Infiltration anaesthesia at the time of crowning“ by Prof. Richard Adanu (University of Ghana) and Prof. Cary Engleberg (University of Michigan) is part of a series of videos from University of Ghana College of Health Sciences about Episiotomy Repair. The complete learning module is available through the African Health OER Network at: An episiotomy is a surgical incision through the perineum made to enlarge the vagina and assist childbirth. The incision can be midline or at an angle from the posterior end of the vulva, is performed under local anaesthetic (pudendal anesthesia) and is sutured closed after delivery. It is one of the most common medical procedures performed on women, and although its routine use in childbirth has steadily declined in recent decades. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a r
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