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When is episiotomy warranted? What the evidence shows

OBG Management. 2003 October;15(10):46-54
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Selective episiotomy appears to offer a number of important benefits compared to routine use, but the debate endures. Dr. Repke reviews the evidence on outcomes and indications.

Does vaginal birth trauma cause pelvic floor dysfunction?

The relationship between vaginal birth trauma, irrespective of episiotomy, and pelvic floor dysfunction remains a topic of investigation. A recent report generated much interest in the potentially protective role of prophylactic cesarean section, particularly if performed prior to the onset of labor.14

Dr. Repke reports no financial relationship with any companies whose products are mentioned in this article.