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This video is part of an interactive learning module for OBGYN students and residents created by St. Paul Hospital Millennium Medical College, University of Ghana and University of Michigan. The full learning module is available at http://open.umich.edu/education/med/oernetwork/med/ob-gyn/episiotomy-adaptation/2013. It is shared here under a Creative Commons Attribution Non-commercial 3.0 License http://creativecommons.org/licenses/by-nc/3.0/.