Restricted use of Episiotomy

Objective : To compare the outcome of restricted versus routine use of episiotomy in a tertiary care center. Method : A prospective observational study was conducted for singleton normal vaginal term deliveries. Deliveries managed with routine use of episiotomy formed the 'Control Group', while those managed with restricted use of episiotomy formed the 'Study Group'. Data so obtained was analyzed. Results : Total number of deliveries analyzed was 458 (Control' Group': n=210, 'Study Group': n=248). Restricted use of episiotomy led to 64% (n=159) women delivering without any perineal laceration, in 'Study Group'. This translated into 41% (n=38) reduction in the number of perineal lacerations in primipara, and 23% (n=36) in multipara, compared to the 'Control Group'. Only 2% of primipara in 'Study Group' had severe third degree perineal tears. Conclusion : Restricted use of episiotomy resulted in considerable reduction in maternal morbidity due to perineal lacerations.