PubMed · 6803962
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G P Pretorius. 1982-05-01. Episiotomy.. https://doi.org/10.1136/bmj.284.6325.1332-a
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1. Many benefits claimed for episiotomy are not sufficiently proven. In recent literature, some of them are questioned and some have been disproven. 2. Episiotomy, especially median episiotomy, has a higher risk of third-degree lacerations. Mediolateral episiotomy is more often followed by postpartum pain and impaired wound-healing. 3. Typical, albeit rare complications of episiotomy and third-degree lacerations are incontinence for stool and flatus, and-very seldom-fistula formation. 4. Complications of episiotomy as well as the failure to perform an episiotomy have had forensic consequences. 5. For good healing of an episiotomy or a perineal laceration suturing with an adequate technique and the use of non-reactive suture material is mandatory.