22nd of June 2019

University of East Anglia


Why are we offering this course?

Because I have heard so many times from a woman in labour this… “The stitches hurt me a lot”.

Because I´ve been told “sometimes when you see a tear you don´t even know where to start” I also heard it.

Because after defeating a cervix cancer the vagina became a universe to re-explore.

Helena Eyimi

Statistics show 85 women out of 100 suffer from some kind of vaginal tear after a vaginal birth. Midwives are responsible for the assessment, and when necessary, the repair of most of these injuries.

When was the last time you updated your perineal suture skills?

Are you interested in attending in order to practice and improve your technique? Do you want to learn new techniques that cause less pain and heal the women in your care more effectively?

This course is designed for:

  • Midwives

  • Obstetricians

  • Midwifery students


  • To provide each participant with the practical skills to perform an updated  perineal suture technique

  • To learn to assess the different degrees of perineal trauma.

  • To Discuss the physical and emotional implications of perineal trauma in women.

  • Analyse the perineal protection manoeuvres (Hands on / poised versus Hands off).

  • Analyse and evaluate the publications, studies and scientific evidence on the subject.

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

Learning theory :

To achieve a clear and correct anatomical understanding of the pelvic muscles using;

  • Images, anatomical models of female pelvis and pelvic musculature.
  • Audio-visual material; evaluation of tears.
  • Study of practical and real cases relevant to the course.

Practical learning:

  • Handling of suture instruments and necessary material.
  • Updated practice of “non-lock” continuous intradermal suture.
  • Practical use of Aberdeen knot.
  • Practical use of square knot.
  • How to perform an episiotomy competently.

Come and update your suture practice with us!

Guaranteed results

Feel confident when suturing 1st and 2nd degree tears, lips and episiotomies.

You will learn the latest suturing and knotting techniques.
Repeat these many times as needed under the careful supervision of Shahla Bakhtiari.



The Updated Perineal Suture Course is an excellent training course that will update midwives at the NBirth 2019 international conference.


Hello, my name is Shahla Bakhtiarui and I am a vocational midwife with 30 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 Cambridge 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 specialised 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, gynaecologists and obstetricians.

At present I teach the latest technique of continuous suture “not locking” which has proven to be the most favourable for women, the professional who gives care and hospital providing care.

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

If you would like us to go to the hospital where you work or to the city where you live,

Do not hesitate to contact us!



9.00am Registration and Welcome

9.15am Brief review of the anatomy of the pelvic floor

9.45am Analysis of different degrees of perineal tear

10.15am Prevention of severe tear: OASI



10.30am Correct simulation episiotomy

11.15am Break

11.30am Continuous suture technique. Knots: Square and Aberdeen

12.30pm Subcutaneous Continous suture

1.30pm Lunch


2.00pm Repair and suture perineal trauma (episiotomy and tear 2nd degree)

3.00pm Labial repair

3.30pm Homeostatic suture

4.00pm Deep tear suture technique

4.30pm Doubts and Questions

5.00pm Farewell and Closing

* The schedule of the program may undergo slight changes.


Norwich: 22nd of June 2019

Full day

From 9:00am until 5:00pm

Designed for
Midwives – Obstetricians – Midwifery students

Shahla Bakhtiari

Attendance Certification

University of East Anglia

Research Park, University of East Anglia, University Dr, Norwich NR4 7TJ, United Kingdom


Registration includes:

  • 8 hours of training
  • Electronic documentation
  • Tea and coffee during the day


To attend to any of our courses in Oxford or Norwich please follow the next steps:

1. Complete this form.

2. Payment:

Price: 125 £

– Via Paypal through the website:

Please, use the following email address for the payment

– Bank transfer:

  • IBAN: GB47HBUK40127684826741

3. Send the payment receipt to with the subject: Perineal Suture UK