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Episiotomy: old practices, new concepts

Author(s): Catia Carnide

Journal: Acta Obstetrica e Ginecologia Portuguesa
ISSN 1646-5830

In the beginning of the 20th century, experts believed that episiotomy would prevent neonatal morbidity and mortality, as well as perineal trauma, and would substitute an irregular laceration for a clean surgical cut. The latter would be easier to repair and faster to heal. This practice, however, was introduced without a sound scientific basis to support it, and recent evidence has brought to light the disadvantages of routine episiotomy.
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