An updated version of this systematic review has been published and can be found online at www. We will soon update the below RHL summary to reflect the updated findings of the systematic review. Limiting the use of episiotomy to strict indications has a number of benefits: less posterior perineal trauma, less need for suturing and fewer complications. Episiotomy does not lead to reduction in most pain measures and severe vaginal or perineal trauma, although it may increase the risk of anterior perineal trauma.

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Episiotomy for vaginal birth

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