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Episiotomy: When it's needed, when it's not

Episiotomy risks

Episiotomy recovery often involves some discomfort. Sometimes the cut is bigger or deeper than a natural tear would have been. Infection is possible after an episiotomy. And for some people, an episiotomy causes pain during sex in the months after childbirth.

A midline episiotomy raises the risk of serious vaginal tears. These tears can go into the anus and effect the rectum. That can make it hard to hold in bowel movements, a condition called fecal incontinence.