The good news is that the rate of episiotomy with all vaginal deliveries decreased from 60.9% in 1979 to 24.5% in 2004. Anal sphincter laceration spontaneous with vaginal delivery declined from 5% in 1979 to 3.5% in 2004 as stated in Frankman EA, Wang L, Bunker CH, et al. Episiotomy in the United States: has anything changed? Am J Obstet Gynecol 2009;200:xx-xx. by International Consultation on Incontinence and the RCOG: First degree: Injury to perineal skin only.
Back to Postnatal Care |