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Episiotomy: old practices, new concepts

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Author(s): Catia Carnide

Journal: Acta Obstetrica e Ginecologia Portuguesa
ISSN 1646-5830


ABSTRACT
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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