It has been shown by Odell and Seski1 that a woman may lose, on an average, approximately 253 cc. of blood from an episiotomy wound in the course of a delivery and that this is the chief source of blood loss in most primiparous women. A new vaginal perineal retractor (fig. 1) for use in obstetrics is presented here. Its primary purpose is to prevent loss of blood from the episiotomy or perineal wounds.
It is a broad-bladed retractor with a concave surface, and it is weighted and shaped so as to fit snugly in the episiotomy site and give sufficient compression to the exposed vessels to stop bleeding instantaneously (fig. 2). The handle is angulated away from the anus to avoid any contamination in the handling of the instrument.
This retractor therefore has two main functions. 1. It stops episiotomy blood loss quickly by direct pressure. (It is
Glenner RJ. NEW VAGINAL HEMOSTATIC RETRACTOR TO REDUCE EPISIOTOMY BLOOD LOSS. JAMA. 1957;164(13):1468–1469. doi:10.1001/jama.1957.62980130004010b
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