Maryann H. Bromberg is a clinical instructor in the Nurse-Midwifery Program at Downstate Medical Center, Brooklyn, NY. She received her nurse-midwifery education at Downstate and holds a Master's degree in Public Health from Columbia University.
PRESUMPTIVE MATERNAL BENEFITS OF ROUTINE EPISIOTOMY
A Literature Review
Version of Record online: 6 JAN 2011
1986 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 31, Issue 3, pages 121–127, May-June 1986
How to Cite
Bromberg, M. H. (1986), PRESUMPTIVE MATERNAL BENEFITS OF ROUTINE EPISIOTOMY. Journal of Nurse-Midwifery, 31: 121–127. doi: 10.1016/0091-2182(86)90147-3
- Issue online: 6 JAN 2011
- Version of Record online: 6 JAN 2011
The use of episiotomy has been widespread in the United States since the 1920s. Obstetric textbooks cite several justifications for its use; the presumed maternal benefits are maintenance of pelvic floor integrity and prevention of lacerations. Despite its frequent use, surprisingly few studies of episiotomy have been undertaken to evaluate its actual effectiveness. Most of these studies were done before the era of active participation in birth by the laboring woman which, along with methodologic problems, severely restricts their value to practitioners today. Additional well-designed studies are sorely needed, not only of episiotomy itself but of other techniques such as antenatal perineal massage, which are recommended as alternatives but remain untested.