Summary: A practice of more restrictive use of episiotomy may lead to less posterior perineal trauma, less suturing and fewer complications, with no differences on most pain measures, compared to a practice of routine episiotomy for vaginal birth. (However, there may be an increased risk of anterior perineal trauma with restrictive episiotomy).

http://www.ncbi.nlm.nih.gov/m/pubmed/19160176

Strength of Recommendation = A

Advertisements