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Summary of significant points, references, and abstracts from related studies from this book on obstetric myths.
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Obstetric Myths Versus Research Realities
Myth: A nice clean cut is better than a jagged tear.
Reality: "Like any surgical procedure, episiotomy carries a number of risks: excessive blood loss, haematoma formation, and infection. . . . There is no evidence . . . that routine episiotomy reduces the
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An article denouncing the practice of routinely cutting the perineum during hospital deliveries in the United States with abstracts for related studies.
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A page of citations from the medical literature that
generally demonstrate that the routine practice of cutting the vaginal opening of
women in labor is unnecessary, causes the tearing it is meant to prevent,
and leads to severe complications.
This page is maintained as a public service by
Please direct all comments, additions or amendations to J. Hughes
Episiotomy: Ritual Genital Mutilation in Western Obstetrics
The practice of routinely cutting the perineum during hospital
deliveries in the United States, episiotomy, has been shown
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by R.J. Woolley which summarize the findings of studies on the subject.
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Benefits and risks of episiotomy:
A review of the English-language literature since 1980
This is the manuscript which was later published as:
Benefits and risks of episiotomy: A review of the English-language literature
Obstet Gynecol Survey
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A description of the procedure, its purposes, and women's responses to it.
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Major Areas of Birth Psychology
Featured Columns in Birth
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A collection of links to articles on the subject plus information on using exercise to avoid and recover from the procedure.
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Often called the unkindest cut of all, this surgical incision of the perineum is mostly unnecessary. Learn how to prevent it and what happens when it's necessary.
Often called the unkindest cut of all, this surgical incision of the perineum is mostly unnecessary. Learn how to prevent it and what happens when it's necessary.
Episiotomy is a medical procedure that scares many people in labor and birth. There is a lot of medical evidence showing you that it is
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Suggestions for avoiding the procedure from midwives, including the use of perineal massage and birth stools.
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Perineal Protection / Avoiding Tears and Episiotomy
Women who had midwife-led models of care were less likely to experience
antenatal hospitalisation, the use of regional analgesia,episiotomy, and
instrumental delivery and were more likely to
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Article on the pros and cons of the procedure.
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Urinary stress incontinence relieved by an episiotomy performed before birth. Learn more at iVillage.com.
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The birth attendant snips the bottom of the vaginal opening to enlarge it for birth. With a midline or median episiotomy, the usual type in the U.S. and Canada, the practitioner cuts straight down toward
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Article on how performing perineal massage may allow the mother to give birth without an episiotomy or laceration.
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Performing perineal massage may allow the mother to give birth without an episiotomy or laceration.
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Perineal massage: Your how-to guide
I have heard that I should be doing perineal massage each day in the weeks before giving birth to help avoid an episiotomy. Please tell me if this is helpful and if so,
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Article from the American College of Obstetricians and Gynecologists suggesting that routine episiotomy is no longer advisable.
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ACOG publications are protected by copyright and all rights are reserved. ACOG publications may not be reproduced in any form or by any means without written permission from the copyright owner. This includes the posting of electronic files on the Internet, transferring electronic files to other
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The how and why, including commonly asked questions and their answers. Includes user submitted comments on personal experiences with the procedure.
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Find out what an episiotomy is and why you might have one during labor and delivery.
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Episiotomy Reviewed by the
Last updated: August 2008
What is an episiotomy? An episiotomy is a surgical cut in the muscular area between the vagina and the anus (the
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