title: Episiotomy: can its routine use be defended?
abstract: Episiotomy is routinely used before delivery in the United States. The rationale for routine episiotomy is based on two foundation arguments: that episiotomy reduces perineal trauma and that it prevents subsequent pelvic relaxation. A careful review finds little evidence to support these arguments. Episiotomy may predispose the gravid woman to third- and fourth-degree lacerations. Efforts should be directed to determine whether episiotomy is beneficial.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill.
authors.forename: J M
authors.initials: JM
authors.lastname: Thorp
authors.forename: W A
authors.initials: WA
authors.lastname: Bowes
mesh_terms: D004841:Episiotomy / Q000379:methods / Q000639:trends*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007744:Obstetric Labor Complications / Q000517:prevention & control; D010502:Perineum / Q000293:injuries; D011247:Pregnancy; D011446:Prospective Studies; D012189:Retrospective Studies; D014621:Vagina / Q000293:injuries