A surgical incision during childbirth to assist in delivery

An incision in the perineum enlarges the vagina, done in 2 typical locations: at an angle near the vulva or mid-line.

Is a procedure that was commonly used over a decade ago and still has some use currently.

Countries such as India and Poland and several places in South America continue to practice this procedure in both routine births and more difficult ones.

Possible False Reasons for use:

   -    Decrease perineal trauma during childbirth
   -    Decrease pelvis dysfunction
   -    Decrease the amount of blood loss during procedure
   -    Decrease fetus trauma

Reason for a Reduction in Use

   -    Further studies show natural tears may be less traumatic
   -    Increase amount of complications with episiotomy

When Episiotomy is Recommended

   -    Shoulder Dystocia [shoulders are stuck]
   -    Excess tearing
   -    Very large baby
   -    When C-section is not indicated but delivery is required
   -    others

Sexual Activity

Sexual activity may be affected by this procedure

Intercourse may become painful and a decrease in lubrication

Difficulty may be seen for 18 months following childbirth

No change in arousal or orgasms are typically seen