New episiotomy study findings recently were reported by researchers at University of Dublin, Trinity College.

According to a study from Dublin, Ireland, "To compare the maternal and neonatal outcomes of operative vaginal delivery in relation to the use of episiotomy. Pilot randomised controlled trial (RCT)."

"Two urban maternity units in Scotland and U.K.. Nulliparous women anticipating a singleton cephalic vaginal delivery were recruited in the antenatal period. If an operative vaginal delivery was required in the second stage of labour, women were randomised to either routine (in all cases) or restrictive (only if tearing apparent) use of episiotomy. The primary outcome was anal sphincter tearing (third or fourth degree). Secondary outcomes included postpartum haemorrhage (PPH), neonatal trauma and pelvic floor symptoms up until 10 days postpartum. In a group of 317 women requiring operative vaginal delivery, 200 were randomised: 99 to routine use of episiotomy and 101 to restrictive use. There were small differences in the rates of anal sphincter tears (8.1% routine versus 10.9% restrictive, OR 0.72, 95% CI 0.28-1.87) and primary PPH (36.4% routine versus 26.7% restrictive, OR 1.57, 95% CI 0.86-2.86). Neonatal trauma was similar between the two groups (45.5% routine versus 43.6% restrictive, OR 1.08, 95% CI 0.62-1.89), as was prolonged catheterisation, urinary incontinence, faecal incontinence, perineal infection and prolonged hospital admission. This pilot ...