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Suturing

Discussion in 'Clinical Placements & Electives (Midwifery)' started by iolaus, Jul 27, 2013.

  1. iolaus

    iolaus RM and Head of Clinical Practice
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    How do people feel about suturing? Do most midwives where you work suture? or is it something that gets handed over to someone else so you can have the next labourer rather than having someone supervise an unconfident midwife

    I hadn't had to suture for 6 months (not deliberately avoiding just the way it worked out that way, and hadn't sutured for 18 months before that) - and thought 'no, get on with it, do it, you are fine' and didn't feel I needed someone else there to back me up (bear in mind the last time the midwife didn't say anything other than 'yeah, you're fine' and I've actually talked someone else through suturing since) - but it's taken a long time and I think a lot of that is to do with where I used to work where most people got the SHO to suture
     
  2. Yorkshire Lass

    Yorkshire Lass Well-Known Member

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    I have mostly seen suturing handed over to someone else however there have been rare occasions when the attending midwife has done it
     
  3. SomeoneMissing

    SomeoneMissing Well-Known Member

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    We all suture unless you think it's a 3rd degree or is particularly complicated looking and then you get the Charge midwife to have a look and if it is a 3rd degree or you think it's too difficult for you, you get the Reg who will do it in theatre. There's nobody else to hand over to.
     
  4. Guest5957

    Guest5957 Guest

    Midwives where I work tend to suture their own women. My mentor isn't very confident but can do it, albeit slowly, and sometimes the coordinator will do it herself if she needs the room quicker.
     
  5. Koalagrrry

    Koalagrrry Well-Known Member

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    The midwives I've worked with suture themselves unless it's third degree or particularly tricky- one lady had a labial tear that the MW got the Consultant to come and suture as she was concerned there was urethral involvement.
    I don't think there was, in the end, but better safe than sorry I think.
     
  6. Noo

    Noo Well-Known Member

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    We tend to suture ourselves though I'm not confident enough to do it without someone over my shoulder giving me some guidance (I've only sutured 3 times EVER) and sometimes the unit is just too busy to spare someone to guide me so I have to get someone else to do it and take over another patient or if it is someone at handover requiring suturing then I'm not given that patient. I don't feel I'm getting a whole lot of practice and now I'm on maternity leave I don't really feel that I'll be getting any more confident any time soon!
     
  7. Jamboree

    Jamboree Moderator
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    Band 6's and above suture their women themselves (it's a band 6 competency where I train ) so band 5's will also do it but under supervision until they are signed off. As above, anything more than a second degree tear, or if it's labial or complicated usually gets the Dr.
    I sometimes wonder about the amount of suturing I've seen done when I hear how many fewer some other students seem to have witnesed training in other units.
    I've done one (under direct supervision) and will def put myself forward to do more next year to get experience as I feel it's nice to be able to give that continuity to the woman from start to finish.
     
  8. fleur68

    fleur68 New Member

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    Not many of our midwives suture, in fact it has been known for midwives to be called in from community to suture because the midwives on labour ward haven't been confident enough to do it!
     
  9. Quite-a-catch

    Quite-a-catch Well-Known Member

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    Erm, what??!! This is shocking : O
     
  10. Radical Owl

    Radical Owl Well-Known Member
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    Wow, that's odd! I always hear community midwives saying they hardly ever suture because they do mostly home births and rarely have women requiring sutures. I would have thought labour ward midwives would be suturing practically every day!
     

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