Summary: Evidence from clinical trials suggests that short-term maternal outcomes of routine episiotomy, such as severity of perineal laceration, pain, and pain medication use, are not better than those with restrictive use of episiotomy; relevant studies demonstrate no benefit from episiotomy for prevention of fecal and urinary incontinence, and pain with intercourse may be more common among women with episiotomy. In short, evidence does not support maternal benefits traditionally ascribed to routine episiotomy.

Strength of Recommendation = A