A member asked:

How do obgyns decide to perform an episiotomy? are natural tears always worse?

A doctor has provided 1 answer
Dr. Jeff Livingston answered

Specializes in Obstetrics and Gynecology

Varies: Some doctors always cut them. Some never do. Recent scientific evidence shows that they are most often not necessary. You can ask your doctor their personal philosophy on this subject as opinions vary. Personally, I only do an episiotomy in extreme circumstances

Answered 2/24/2018

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