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

The episiotomy tradition

For years, an episiotomy was thought to help prevent larger vaginal tears during childbirth. Experts believed an incision would heal better than a natural tear. The procedure was also thought to help preserve the muscles and connective tissue that support the pelvic floor.

Today, however, research suggests that routine episiotomies don't prevent these problems after all.