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Modeling Ascending Vaginal Infection, Preterm Birth, and Neonatal Morbidity in Mice
Published on: October 10, 2025
Morbidity from episiotomy
Aliya Islam1, Ayesha Hanif, Ambreen Ehsan
1Military Hospital Rawalpindi, Islamabad. wkniazi@gmail.com
JPMA. the Journal of the Pakistan Medical Association
|August 2, 2013
Summary
Episiotomy, a surgical cut during childbirth, increases postpartum pain and perineal damage. Avoiding episiotomy leads to better maternal outcomes and avoids unnecessary morbidity.
Area of Science:
- Obstetrics and Gynecology
- Perinatology
- Women's Health
Background:
- Episiotomy is a common procedure during childbirth.
- The benefits and risks of episiotomy require ongoing evaluation.
Purpose of the Study:
- To assess the postpartum morbidity associated with episiotomy.
- To compare outcomes between women who received an episiotomy and those who did not.
Main Methods:
- A prospective randomized controlled study involving 200 patients.
- Group 1: 100 patients received a mediolateral episiotomy.
- Group 2: 100 patients delivered without an episiotomy.
Main Results:
- Significantly higher rates of perineal tears, pain, and dyspareunia in the episiotomy group.
- No significant differences observed in pressure sensation, incontinence, or pelvic organ prolapse between groups.
Conclusions:
- Episiotomy offers no significant advantages and is associated with increased morbidity.
- Episiotomy-free deliveries can prevent avoidable complications.
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