When would a midwife typically prescribe lignocaine?

Lignocaine, also known as lidocaine, is often used by midwives in the context of providing local anesthesia. Specifically, it is prescribed prior to performing procedures that may cause discomfort, such as an episiotomy or when suturing after delivery. The application of lignocaine in these scenarios helps to numb the area, minimizing pain and discomfort for the patient during potentially painful procedures.

The other options do not align with the typical usage of lignocaine. For instance, while managing labor may require pain relief strategies, lignocaine is not typically used for easing contractions. Similarly, postpartum hemorrhage management often involves other medications, such as oxytocin, to contract the uterus, rather than local anesthetics. Lastly, routine immunizations are not conducted with lignocaine; they usually involve the administration of vaccines without the need for local anesthesia. Thus, the use of lignocaine prior to an episiotomy or suturing is the most appropriate scenario among the choices presented.