Six randomised controlled trials indicate restrictive episiotomy policies, where health staff avoid the procedure, appear to have a number of benefits compared to policies where episiotomies are performed routinely.
This Evidence Update was adapted from Carroli G, Belizan J. Episiotomy for vaginal birth (Cochrane Review). In: The Cochrane Library, Issue 4, 2003.
Maternal Health Series, Effective Health Care Alliance Programme, Liverpool School of Tropical Medicine, 2 pp.
What are the benefits and risks of restrictive versus routine episiotomy during vaginal birth? Evidence Update, Maternal Health Series, January 2004