Examine 360 degrees for other non-hemostatic lacerations that require sutures
Use 2-0 or 3-0 vicryl rapide or similar - the same suture will be used to close all tissue
Start an anchoring stitch at apex within vaginal mucosa
Continuous LOCKing sutures along vaginal mucosa/submucosa
Once at the hymen/perineal muscles, tie suture, but do not cut continuous end
Bury the knot within the perineum, and come out with the needle at the apex of the perineum
Continue suturing perineal muscles up to skin in a NON-locking fashion
At apex of skin, perform dermal approximations down to distal skin edge
Return to apex of skin with a subcuticular stitch (like a monocryl skin closure) and tie knot
Bury knot in superficial perineum/subQ and cut remaining suture from needle
Episiotomy
IVF maintenance
Resuscitative hysterotomy
Massive transfusion
Massive transfusion 
Coude catheter
Emergent delivery
Betamethasone