<<<Go Back

According to a recent article in the journal of The American Medical Association,
routine episotomies occur at over 30% of births in the U.S. However, in reviewing multiple studies, the authors point out that episiotomies do not prevent perineal trauma or urinary incontinence, and in fact are correlated with more third and fourth degree (more severe) tears, and more long-term pain. Therefore, the authors recommended using episiotomies judiciously to prevent extensive tear which seems imminent or to assist a baby who is not tolerating pushing.

The authors point out that, like any intervention, episiotomy should not become routine, but remain an option to be considered in restricted cases in which the procedure is used only to avoid other problems.

Hartmann K, Viswanathan M, Palmieri R, Gertlehner G, Thorp J, Lohr KN. outcomes of routine episiotomy: a systematic review. JAMA 2005; 293:2141–8.