BJOG : an international journal of obstetrics and gynaecology
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Multicenter Study Clinical Trial
A prospective cohort study of maternal and neonatal morbidity in relation to use of episiotomy at operative vaginal delivery.
To evaluate the maternal and neonatal morbidity of operative vaginal delivery in relation to the use of episiotomy. ⋯ The use of episiotomy did not reduce or greatly increase anal sphincter tears and was associated with greater maternal and neonatal morbidity. This may reflect the complexity of deliveries. The role of episiotomy at operative vaginal delivery should be evaluated in a randomised controlled trial.