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The only disadvantage shown in the restrictive use of episiotomy is an increased risk of anterior perineal trauma. In England, episiotomies are not done routinely.
The educational health content on What To Expect is reviewed by our team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. Yet there is something you can do that might help — perineal massage.
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Another reason for carrying out an episiotomy is when it's necessary to widen your vagina so instruments, such as forceps or ventouse suction, can be used to help with the birth. The question of informed consent needs to be addressed during antenatal care.
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