No episiotomy?!
A method is presented which with careful manipulation of the vagina around the crowning head reduces the incidence of an episiotomy or a perineal tear. Using the method described, the overall result obtained was an intact perineum in 68% of vaginal deliveries (which included forceps deliveries). An episiotomy was performed in only 7% of deliveries--all associated with the use of forceps.
D004841:Episiotomy; D005113:Extraction, Obstetrical; D005260:Female; D006801:Humans; D007743:Labor, Obstetric / Q000502:physiology; D009772:Obstetrical Forceps; D011247:Pregnancy