title: Spontaneous vaginal deliveries and perineal trauma in Lucea, Jamaica.
abstract: In 1991, there were 995 uncomplicated vaginal deliveries at Noel Holmes Hospital (NHH) in Lucea, Jamaica. Seven hundred and forty-two women were discharged with intact perineums. Only 3 episiotomies were performed. These data raise a concern that episiotomy may be overused in the United States.
authors.affiliation: Program in Community Medicine, Tulane University School of Medicine, New Orleans.
authors.forename: P J
authors.initials: PJ
authors.lastname: Doherty
authors.forename: I
authors.initials: I
authors.lastname: Cohen
mesh_terms: D036861:Delivery, Obstetric; D004841:Episiotomy / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007563:Jamaica; D007744:Obstetric Labor Complications; D010502:Perineum / Q000293:injuries*; D011247:Pregnancy; D014481:United States