ObGyn Intelligence

ObGyn Intelligence

Pregnancy Intelligence

Beyond the Myths: Real Science in Women's Health - Episiotomy Prevents Severe Tears? Think Again.

Rejecting routine episiotomy doesn’t mean we should never perform it. There are situations where an incision can truly help protect mother and baby.

Amos Grünebaum, MD's avatar
Amos Grünebaum, MD
Sep 12, 2025
∙ Paid

I still remember the early years of my training.
When a baby’s head began to crown, it was almost automatic: scissors in hand, we cut an episiotomy. The reasoning was simple and, at the time, widely accepted—better a clean surgical cut than a ragged tear. We were taught that this quick snip would prevent severe perineal trauma, protect the pelvic floor, …

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