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Episiotomy in modern obstetrics--necessity versus malpractice
Jolanta Pietras1, Bernice Folake Taiwo
1The University of Medical Sciences in Legnica, Poland. dziekan@wsmlegnica.pl
Summary
Episiotomy, a common obstetric procedure, is increasingly questioned for its routine use. This review examines the arguments for and against episiotomy, particularly in Poland, to assess its appropriateness in modern childbirth.
Area of Science:
- Obstetrics and Gynecology
- Surgical Procedures in Childbirth
Background:
- Episiotomy, once rare, became a widespread obstetric practice in the late 20th century.
- Its routine application is now under scrutiny by various groups, including healthcare professionals and women's organizations.
Purpose of the Study:
- To critically evaluate the appropriateness of widespread episiotomy use.
- To review arguments for and against episiotomy based on existing literature and data.
- To highlight the ongoing debate surrounding episiotomy, especially in the context of Polish healthcare.
Main Methods:
- Literature review of studies and reports on episiotomy.
- Analysis of arguments supporting and opposing the procedure.
- Examination of current practices and public discourse.
Main Results:
- The study acknowledges situations where episiotomy may be necessary.
- It highlights growing doubts regarding the routine and excessive use of episiotomy.
- Poland represents a case where routine episiotomy remains prevalent despite international questioning.
Conclusions:
- The routine use of episiotomy requires re-evaluation.
- Evidence-based discussion is needed to determine the appropriate role of episiotomy in contemporary obstetrics.
- Further research and consensus-building are essential to address differing professional and public opinions.
