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pubmed-article:2658595pubmed:abstractTextEpisiotomy is routinely used before delivery in the United States. The rationale for routine episiotomy is based on two foundation arguments: that episiotomy reduces perineal trauma and that it prevents subsequent pelvic relaxation. A careful review finds little evidence to support these arguments. Episiotomy may predispose the gravid woman to third- and fourth-degree lacerations. Efforts should be directed to determine whether episiotomy is beneficial.lld:pubmed
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pubmed-article:2658595pubmed:articleTitleEpisiotomy: can its routine use be defended?lld:pubmed
pubmed-article:2658595pubmed:affiliationDepartment of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill.lld:pubmed
pubmed-article:2658595pubmed:publicationTypeJournal Articlelld:pubmed
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