{"id":251,"date":"2020-08-13T17:11:28","date_gmt":"2020-08-13T17:11:28","guid":{"rendered":"https:\/\/brooksidepress.org\/basic_obgyn\/?page_id=251"},"modified":"2026-10-12T18:10:47","modified_gmt":"2026-10-12T18:10:47","slug":"episiotomy-and-repair","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/pa_obgyn\/technical-skills\/episiotomy-and-repair\/","title":{"rendered":"2.14 Episiotomy and Repair"},"content":{"rendered":"<p><iframe loading=\"lazy\" title=\"vimeo-player\" src=\"https:\/\/player.vimeo.com\/video\/1235136722?h=4b6c700458\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\"><strong><a href=\"https:\/\/obgynskillslab.vhx.tv\/\" target=\"_blank\" rel=\"noopener\">Watch the full-length version of this video plus over 150 other Women&#8217;s Health Training videos with a subscription to OBGYN Skills Lab.<\/a><br \/>\n<\/strong><strong><em>\u00a0 &#8211; 3 Day Free Trial<br \/>\n<\/em><\/strong><strong><em>\u00a0 &#8211; Cancel at any Time.<\/em><\/strong><\/p>\n<input type='hidden' bg_collapse_expand='6ad87e090a52a8053578690' value='6ad87e090a52a8053578690'><input type='hidden' id='bg-show-more-text-6ad87e090a52a8053578690' value='Comment on Episiotomy'><input type='hidden' id='bg-show-less-text-6ad87e090a52a8053578690' value='Close'><button id='bg-showmore-action-6ad87e090a52a8053578690' class='bg-showmore-plg-button bg-red-button bg-arrow '   style=\" color:#fcfcfc;\">Comment on Episiotomy<\/button><div id='bg-showmore-hidden-6ad87e090a52a8053578690' ><\/p>\n<p>While episiotomies are no longer routinely performed in usual obstetric care, we wanted to include this older video because the repair is the same as one would use for repair of a second degree vaginal laceration.<\/p>\n<p>Episiotomies are no longer routinely recommended. Data show they are associated with a higher rate of 3rd and 4th degree perineal lacerations than when a patient is allowed to tear naturally. They are not an effective strategy for protecting the maternal pelvic floor.<\/p>\n<p>There are still occasional clinical circumstances where an episiotomy is indicated, such as in management of some shoulder dystocias.<\/p>\n<p style=\"text-align: right\">\u00a0&#8211; Dr. Smith and Dr. Hughey<\/p>\n<p><\/div>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Watch the full-length version of this video plus over 150 other Women&#8217;s Health Training videos with a subscription to OBGYN Skills Lab. \u00a0 &#8211; 3 Day Free Trial \u00a0 &#8211; Cancel at any Time. &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":781,"menu_order":214,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-251","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/pages\/251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/comments?post=251"}],"version-history":[{"count":1,"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/pages\/251\/revisions"}],"predecessor-version":[{"id":3034,"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/pages\/251\/revisions\/3034"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/pages\/781"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/media?parent=251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}