Alis Stainless Steel 5.5 Episiotomy Scissor There are four main types of episiotomy. Medio-lateral he incision is made downward and outward from the midpoint of the fourchette either to the right or left. It is directed diagonally in a straight line that runs about 2.5 cm (1 in) away from the anus (midpoint between the anus and the ischial tuberosity). Median: The incision commences from the centre of the fourchette and extends on the posterior side along the midline for 2.5 cm (1 in). Lateral: The incision starts from about 1 cm (0.4 in) away from the centre of the fourchette and extends laterally. Drawbacks include the chance of injury to the Bartholin's duct, therefore some practitioners have strongly discouraged lateral incisions. J-shaped: The incision begins in the centre of the fourchette and is directed posteriorly along the midline for about 1.5 centimetres (0.59 in) and then directed downwards and outwards along the 5 or 7 o'clock position to avoid the internal and external sphincter. This procedure is also not widely practised.Uses:Used for precise cutting during episiotomy procedures.Product Specifications and Features:Medio-lateral episiotomy: An incision made diagonally downward and outward from the fourchette midpointMedian episiotomy: An incision starting at the center of the fourchette and extending along the posterior midlineLateral episiotomy: An incision starting near the fourchette center and extending laterally, with potential drawbacksJ-shaped episiotomy: An incision starting at the fourchette center, then directed posteriorly and downward to avoid sphincter injuryDirections For Use:As directed by the healthcare professionals.Safety Information:Read the label carefully before useStore in a cool and dry place, away from sunlightKeep out of reach of children