According to a newly published study in the Journal of the American Medical Association, episiotomies provide "no benefits and actually cause more complications." "'The evidence is clear: Routine use of episiotomy is not supported by research and should stop,' said Katherine E. Hartmann, director of the Center for Women's Health Research at the University of North Carolina at Chapel Hill, who led the analysis."
70 to 80% of first-time mothers have episiotomies, the report says. Since there are still cases where it may be necessary, researchers urge expectant mothers to consult with their doctors. I'm sure 4 out of 5 perineums surveyed will agree.
Procedure On Women In Labor Adds Risk: Study Urges Halt To Episiotomies [wash post, via tmn]
Outcomes of Routine Episiotomy [abstract, JAMA]
related: the journal The Female Patient is rather down on episiotomies, while a health outfit called, I kid you not, adam.com, is surprisingly upbeat. I wonder if they've ever had one. [NSFW, unless you work in a delivery room. via pennhealth.com]
Life/formĘ Midline Episiotomy Suturing Simulator, $114, or buy the complete set of three, including both right and left mediolateral suture simulators, for only $270.75 from Med-WorldWide [NSFW, or at least awkward to explain, med-worldwide.com]