Editorial

Stop performing
median episiotomy!

Start using a mediolateral incision when episiotomy is indicated

Editor in Chief
ROBERT.BARBIERI@QHC.COM

• expediting delivery when warranted in the second stage

• protecting the maternal perineum from lacerations

• reducing pelvic relaxation and incontinence

• protecting the fetal head

• facilitating the performance of operative delivery

• reducing the risk of shoulder dystocia.

Most studies do not provide strong support for these claims.