Episiotomy: can its routine use be defended?
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.
Thorp
J M
JM
Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill.
Bowes
W A
WA
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