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Extracted from Survival Guide to Midwifery, 2nd Edition (2012) Diane M. Fraser and Margaret A. Cooper, Oxford; Churchill Livingstone: 2012. Courtesy Elsevier
Episiotomy is an incision through the perineal tissues to enlarge the vulval outlet during the birth. The rationale for its use depends on the need to minimise the risk of severe. Spontaneous, maternal trauma and to expedite the birth when there is evidence of fetal compromise. The woman needs to give consent prior to the procedure.
A. Infiltrating the perineum. B. Performing an episiotomy. C. Innervation of the vulval area and perineum
There are two types of incision:
Royal College of Midwives (2012). Evidence Based Guidelines for Midwifery-Led Care in Labour. Available at: https://www.rcm.org.uk/sites/default/files/Care%20of%20the%20Perineum.pdf