When it comes to episiotomy scissors, there is no single “best” option. Across New Zealand maternity departments, clinician preference, training, and technique often determine which style is used.
At Hallmark Surgical, the three most common episiotomy scissors we see used are Metzenbaum, Sims, and Braun-Stadler scissors. While all three can be used for episiotomy procedures, each has distinct characteristics that may make it more suitable for different clinicians.
Metzenbaum Scissors
Metzenbaum scissors, often referred to simply as “Metz” scissors, are widely used throughout theatre environments and are familiar to many clinicians from general surgical procedures.
Their finer blades provide excellent control and precision, making them well suited to more delicate cutting applications. Metzenbaum scissors are available in a range of lengths, allowing clinicians to select an option that best suits their technique and preference.
One consideration is that the finer blade design generally provides less cutting power than dedicated episiotomy scissors. For clinicians who prefer a more robust instrument, a Sims or Braun-Stadler pattern may be preferred.
Best suited for:
Sims Episiotomy Scissors
Sims scissors are purpose-built for obstetric procedures and remain one of the most popular choices for episiotomies.
Compared to Metzenbaum scissors, Sims scissors have a heavier construction, both in the blades and the shanks. This provides a sturdy feel and excellent cutting performance during heavier tissue cutting.
Sims scissors are commonly available in 20cm and 23cm lengths, allowing clinicians to choose the reach and handling characteristics they prefer.
Best suited for:
Braun-Stadler Episiotomy Scissors
Braun-Stadler scissors are another popular dedicated episiotomy scissor design.
The key feature that distinguishes Braun-Stadler scissors is their angled blade configuration. This design can assist with incision placement while also improving access and visibility during the procedure.
Braun-Stadler scissors are commonly available in both 14cm and 22cm lengths. While both sizes are used, the 14cm version is often preferred due to its balance of control, manoeuvrability, and cutting performance.
Like Sims scissors, Braun-Stadler scissors are designed specifically for obstetric procedures and offer excellent cutting power.
Best suited for:
Choosing the Right Episiotomy Scissor
When selecting an episiotomy scissor, there are several factors to consider:
Blade Design
Straight and angled blade options are available. Braun-Stadler scissors offer an angled design, while Metzenbaum and Sims scissors are more commonly supplied with straight blades.
Instrument Length
Length can influence both control and reach. Metzenbaum scissors are available in a variety of lengths, Sims scissors are commonly supplied in 20cm and 23cm options, and Braun-Stadler scissors are typically available in 14cm and 22cm lengths.
Cutting Power vs Precision
Clinicians who prioritise precision may prefer Metzenbaum scissors, while those wanting greater cutting power often favour Sims or Braun-Stadler designs.
Personal Preference
Ultimately, clinician preference remains one of the most important factors. The best episiotomy scissor is often the one that feels most comfortable and supports the clinician’s preferred technique.
Final Thoughts
The most commonly used episiotomy scissors in New Zealand maternity departments are Metzenbaum, Sims, and Braun-Stadler patterns. Each offers unique advantages, whether that is precision, cutting power, visibility, or familiarity.
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https://www.hallmarksurgical.com/product/scissors-episiotomy-sims-straight/