Why are we offering this course?

How many times have you heard a post partum mum say

“my sutures have come undone”

Or heard or felt, “ I just do not know where to start in reparing this tear

After having had cervical cancer myself, I realised that the vagina is an un known universe needing to be explored?


Satistics show 85 women out of 100 suffer from some kind of vaginal tear after a vaginal birth,

and midwives are responsible for the assessment and repair for most of these when necessary.

Ask your self these questions:

*When was the last time you did any perineal suturing?

*Did you feel need to update of your professional depth and want to grow in practice and improve your skill?

*Are you aware of how much analgesia should be given before you suture?

*Do you know how many days it takes for sutures to asorb?


This course is designed for:

  • Midwives, obstetricians, student midwives and doctors


  • To provide each participant with the practical skills to perform

  •  perineal suturing utilising the most up to date and evidence based technical methods.

  • To learn to access differing degrees of perineal trauma correctly

  • To discuss knowledgeably and sensitivly the physical and emotional implications of perineal trauma with women

  • To analyse the manouvers of perineal trauma based on up to date evidence (hands on or poised versus hands off delivery)

  • To improve confidence when suturing 1rst and 2nd degree tears, episiotomies and labial tears.

Learning theory :

To achieve a clear and correct understanding anatomicaly of the pelvic muscels using;

  • images
  • anatomical models of the female pelvis and pelvic muscles
  • audio visiual material for assesments of tears and epsiotonies
  • and the study of real life scenarios relevent to the course

Practical learning:

  • Practical handeling of suturing instruments and materials
  • up to date practice of continupus non-lis subcuticular suturing
  • Practical use of Aberdeen knot
  • How to perform an epsiotomu confidently and correctly
  • Introduction to and use of ‘Episcissors-60’

Come and update your suture practice with us!

Feel confident when suturing 1rst and 2nd degree tears, labia and epsiotomies.

Practice makes perfect!

You can practice and perfect perfect your suturing skills under the careful supervision of Shala Bakhtiariu RM.




My name is Shala Bakhtiarui and I am a vocational midwife with 28 years of experience in the delivery and care of birthing women. My professional focus and expertise is in suturing and perineal care.

I am originally from Iran and worked in the Middle East in the Ministry of health from 1989 to 2002 . During this time I was responsible for the organisation and opening of 7 maternity units in Iran In 1995, I was the director of the family planning project for UNFPA (United Nations Fund for Population Activities), a subsidiary body of the United Nations General Assembly which is responsible for reproductive health, development and gender equality.

My passion for research, which I share with my husband, brought us to the UK in 2002, and in Manchester I volunteered with refugee women and was later hired as a midwife at Central Manchester University Hospital.

In 2004 I began my work as a midwife at Cambrige University Hospitals. My keen interest in perineal health led me to achieve my Master’s degree from the University of Salford in Manchester. My thesis was entitled “Prevention of perineal tears during vaginal delivery.”

I am currently working as a midwife specialising in the OASIS (Obstetric Anal Sphincter Injuries) program. We are a team of professionals consisting of physiotherapists, obstetricians and midwives working on a national level. Together we carry out research and publish internationally in prestigious magazines on the subject of anal sphincter injuries.

Within the clinical unit and consultation of OASIS, I assign specialized care to women who have suffered third and fourth degree perineal tears, offering strategies to improve their quality of life. I regularly participate in conferences throughout England, teaching the role of the midwife in the prevention of these tears.

I am also the current director of training for ‘continuing practice of perineal suturing’ for teams of midwives, gynecologists and obstetricians. At present I teach the latest technique of continuous suture “not locking” which has proven to be the most favorable for women, the professional who gives care and hospital providing care.

The perineal suture is a true art that every midwife should keep their skills updated, I am very excited to be able to teach in Spain with this masterful Course of ‘Perineal Suture Updated’.


  • Vizcaya 24 and 25 of January, (Maternal)
  • Córdoba 6th and 7th of February, (Hospital de Montilla)
  • Bilbao 9 and 10 of February, (School of Nursing of Bizkaia)


Madrid, Santiago, Barcelona, Canary Islands, Andalusia, Valencia, Basque Country, Castilla la Mancha, etc … we travel to your meeting!


If you want us to go to the hospital where you work or to your city,

send an email to hello@helenaeyimi.com


Registration includes:

  • 8 hours of training.
  • Electronic Documentation
  • Tea and coffee during the day.
  • Accreditation of the Commission of Continued Training Requested: nº 7/819321.9/17 y nº 47/780609.9/17


To attend Bilbao, contact the Nursing College of Bizkaia.

To attend Córdoba:

1. Complete this registration form.

2. Make the payment:

Price: € 165

– By PayPal from the website:

Use the email hello@helenaeyimi.com for payment.

– By bank transfer to the following account:

ES88 01824866680201511967

3. Send the proof of payment to hello@helenaeyimi.com.