February 2017 PMID 28176333

Selective versus routine use of episiotomy for vaginal birth.

Hong Jiang, Xu Qian, Guillermo Carroli, Paul Garner

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Mentions

87
Peak: 13 in Aug 2024
across 5 sources since Feb 2017

Extended reach

198,551
potential audience

Total likes

71

Video views

170

Mentions per month

Feb 2017 – Oct 2025

Where it's discussed

  • News34 articles
  • X / Twitter33 posts
  • Facebook9 posts
  • TikTok9 posts
  • YouTube2 videos

AI synopsis

What people are saying

The group discusses the scientific evidence showing that routine episiotomy is not justified and can cause unnecessary trauma, with comments emphasizing that many doctors lack necessary training. The tone varies from supportive to questioning, and examples referencing research, such as 'episiotomy causes unnecessary pain and trauma,' demonstrate substantial engagement and concern over practice standards, indicating a recognition of the potential impact on clinical and patient outcomes.

AgreementModerate agreement

The majority of discussions reflect support for the evidence against routine episiotomy, emphasizing scientific findings that favor selective use.

InterestHigh interest

Posts demonstrate high interest by referencing scientific evidence, clinical implications, and debates about practice standards.

EngagementModerate engagement

Participants engage with detailed arguments, citing studies, sharing personal opinions, and questioning practices, indicating thoughtful involvement.

ImpactModerate impact

The discussions could influence clinical awareness and practice changes by highlighting the importance of evidence-based decision-making in childbirth.

Abstract in brief

  • This review compares the effects of selective versus routine episiotomy during vaginal births on mothers and babies, based on 12 randomized controlled trials involving over 6,000 women.
  • It finds that selective episiotomy, used only when needed, aims to reduce unnecessary surgical cuts and trauma, while routine episiotomy is performed in all cases regardless of necessity.
  • The evidence, evaluated through rigorous analysis, helps inform best practices in childbirth management, considering factors like parity and birth type.]

Top posts

Most liked on X and Bluesky
TohoOmori_OBGY
@TohoOmori_OBGY · X

#東邦OBGY論文紹介

Apr 19, 2024 · 22 likes · 6 shares · 382 followers View post →
Dr. Sylvia Karpagam
@sakie339 · X

Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women suffer from long term complications/pain/difficulty having sex. Too little attention has been given to this. https://t.co/GbAyyLrZyB

Aug 19, 2024 · 21 likes · 13 shares · 23,481 followers View post →
fetichista pós-moderno
@topofago · X

@guilhotines @parolin_ricardo é sim https://t.co/BMwf1J9PYs https://t.co/nfiTabbIOw

May 20, 2020 · 10 likes · 9,119 followers View post →
Esther Samper
@Shora · X

Voy dejando los enlaces a varios estudios que he ido citando para que podáis leerlos con más detalle. No vaya a ser que alguien también se utilice para sacarlos de contexto: https://t.co/29dvSfC2mq https://t.co/UcBcwMkjCC https://t.co/8hxAp9vQNp https://t.co/QuerivHBYu

Nov 18, 2021 · 9 likes · 1 share · 34,072 followers View post →
TohoOmori_OBGY
@TohoOmori_OBGY · X

#東邦OBGY論文紹介

Apr 19, 2024 · 3 likes · 382 followers View post →
ACS
@C_S_Andre · X

@woldpt @GoncaloAguiar É. Porque diz a evidência que, ou não rasga, ou até rasga na mesma. https://t.co/G5hxCrG3pw

Apr 12, 2025 · 2 likes · 190 followers View post →

All mentions

ACS
@C_S_Andre · X

@woldpt @GoncaloAguiar É. Porque diz a evidência que, ou não rasga, ou até rasga na mesma. https://t.co/G5hxCrG3pw

Apr 12, 2025 · 2 likes · 190 followers View post →
ACS
@C_S_Andre · X

@_TeresaPires @GoncaloAguiar Quem disse que é uma escolha entre uma e outra? A evidência científica não foi. https://t.co/G5hxCrG3pw

Apr 12, 2025 · 190 followers View post →
ACS
@C_S_Andre · X

@VitorFerreira @GoncaloAguiar https://t.co/G5hxCrG3pw Há quem saiba.

Apr 12, 2025 · 190 followers View post →
ACS
@C_S_Andre · X

@Xpto78667579 @GoncaloAguiar E se vais anexar imagens sem contexto, anexa que o nível mais alto de evidência científica não preconiza a episiotomia como rotina ou sequer preventiva de lacerações de grau alto. https://t.co/G5hxCrG3pw

Apr 12, 2025 · 1 like · 190 followers View post →
Sashpri1
@Sashpri1 · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 20, 2024 · 13 shares · 227 followers View post →
Kaushiki
@kaushu · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 918 followers View post →
AnnieZaidi
@anniezaidi · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 15,889 followers View post →
aakash solanki
@theplaa · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 570 followers View post →
Aatreyee Dhar(Let Sleeping trees lie)
@carbon_stink · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 7,155 followers View post →
sunderarajan
@ndpsr · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 1,975 followers View post →
Sheikh Eliyas
@sheikheliyas · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 674 followers View post →
Rema Nagarajan
@RemaNagarajan · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 16,583 followers View post →
Ripusudan Srivastava
@RipusudanSriva2 · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 1,838 followers View post →
Leslie Martin D
@LeslieMartind · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 1,813 followers View post →
Dr. Sonali Vaid
@SonaliVaid · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 13,422 followers View post →
Awakened Princess
@GastricpH · X

RT @sakie339: Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women s…

Aug 19, 2024 · 13 shares · 1,019 followers View post →
Dr. Sylvia Karpagam
@sakie339 · X

Not many doctors know exactly where to cut &.how to suture an episiotomy (cut in the perineal area) during delivery. Women suffer from long term complications/pain/difficulty having sex. Too little attention has been given to this. https://t.co/GbAyyLrZyB

Aug 19, 2024 · 21 likes · 13 shares · 23,481 followers View post →
MiZU
@_mizutsuki · X

RT @TohoOmori_OBGY: #東邦OBGY論文紹介

Apr 20, 2024 · 6 shares · 962 followers View post →
Ayako Shibata@女性の健康支援の活動中
@ayako700 · X

RT @TohoOmori_OBGY: #東邦OBGY論文紹介

Apr 19, 2024 · 6 shares · 12,695 followers View post →
産婦人科医
@syutoken_sanka · X

RT @TohoOmori_OBGY: #東邦OBGY論文紹介

Apr 19, 2024 · 6 shares · 46,903 followers View post →
糸結べない
@Mark_SiebenG · X

RT @TohoOmori_OBGY: #東邦OBGY論文紹介

Apr 19, 2024 · 6 shares · 282 followers View post →
@ymito®︎
@ItoAyumu_toho · X

RT @TohoOmori_OBGY: #東邦OBGY論文紹介

Apr 19, 2024 · 6 shares · 965 followers View post →
TohoOmori_OBGY
@TohoOmori_OBGY · X

#東邦OBGY論文紹介

Apr 19, 2024 · 22 likes · 6 shares · 382 followers View post →
TohoOmori_OBGY
@TohoOmori_OBGY · X

#東邦OBGY論文紹介

Apr 19, 2024 · 3 likes · 382 followers View post →
Raquel
@reich15mm · X

@AbrasaMeMucho @Clarahurricane Claro, selectiva se refiere que existe criterio de selección y prevenir un desgarro no es criterio para hacerla https://t.co/QAFwjD0FFf y efectivamente con la creencia de que deben hacerse como prevención de desgarros SI se hacen de forma más rutinaria de la debida

Dec 2, 2023 · 118 followers View post →
Parteira Feminista Cansada de Guerra
@NormalBirthBRAZ · X

Entretanto, evidências científicas mostram que episiotomia não é justificada pois causa dor desnecessária, laceração e trauma perineal. Em comparação com ruptura espontânea, episiotomia leva a maior perda de sangue, infeção e mais tempo para cicatrizar. 2/ https://t.co/KuoankhN2e

Jul 30, 2023 · 2,462 followers View post →
Jan Marek
@JanMare61756324 · X

@blazekvra @verusvonnav @suchoss @Chirurg06 https://t.co/6SqOLi7dso

Aug 11, 2022 View post →
Sabado_Negro
@Sabado_Negro · X

RT @Shora: Voy dejando los enlaces a varios estudios que he ido citando para que podáis leerlos con más detalle. No vaya a ser que alguien…

Nov 18, 2021 · 1 share · 1,161 followers View post →
Esther Samper
@Shora · X

Voy dejando los enlaces a varios estudios que he ido citando para que podáis leerlos con más detalle. No vaya a ser que alguien también se utilice para sacarlos de contexto: https://t.co/29dvSfC2mq https://t.co/UcBcwMkjCC https://t.co/8hxAp9vQNp https://t.co/QuerivHBYu

Nov 18, 2021 · 9 likes · 1 share · 34,072 followers View post →
Kitty Sanmar
@lamujerdelila · X

RT @Magoelmago3: @QPancito @Aprendiendoapr1 @JorgeEbola @el_pais No es cierto. Lo que está demostrado es que en mujeres que no precisan pa…

Jul 26, 2021 · 1 share · 588 followers View post →
Magoelmago
@Magoelmago3 · X

@QPancito @Aprendiendoapr1 @JorgeEbola @el_pais No es cierto. Lo que está demostrado es que en mujeres que no precisan parto instrumentado, hacer episiotomía DE RUTINA tiene más riesgo de trauma severo que hacerla de forma SELECTIVA. Por eso es lo que se hace. https://t.co/8HFuVPwAa0

Jul 26, 2021 · 1 like · 1 share · 49 followers View post →
André
@OAndrePa · X

@hortusconclusu8 @mjoaomarks As mulheres deviam assinar um consentimento informado que prevê este tipo de intervenção. https://t.co/m1BIyCahSf

Sep 6, 2020 · 980 followers View post →
fetichista pós-moderno
@topofago · X

@guilhotines @parolin_ricardo é sim https://t.co/BMwf1J9PYs https://t.co/nfiTabbIOw

May 20, 2020 · 10 likes · 9,119 followers View post →
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Selective versus routine use of episiotomy for vaginal birth. Cochrane Database Syst Rev. 2017;(2):CD000081 (https://doi.org/10.1002/14651858.CD000081.pub3). 63 ...

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... 10.1002/14651858.C D 000081.pub2. episiotom y an d an al sphincter injury ... pub3. Birth. 2006;33:117-22. 31. G rah am ID, C arroli G, D avies C, et ...

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... 10.1002/14651858.CD000081.pub3/full/de #doula #ichwerdedoula #doulasoftiktok #Geburt #geburtstipps #dammschnitt #geburtsplan ...

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... 10.1002/14651858.CD000081.pub3/full ja episiotomiasta eli toimenpidesuostumuksesta: https://pubmed.ncbi.nlm.nih.gov/39092580/ "Niistä ...

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http://onlinelibrary.wiley.com/doi/10.1002/14651858. CD000081.pub3/full. Selective versus routine use of episiotomy for vaginal birth.

Apr 19, 2017 View →
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Episiotomi secara pilihan berbanding penggunaan rutin untuk ...
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Cochrane Database of Systematic Reviews 2017, Issue 2. Art. No.: CD000081. DOI: 10.1002/14651858.CD000081.pub3. Pengarang. Jiang H ...

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Selective versus routine use of episiotomy for vaginal birth | Cochrane
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DOI: 10.1002/14651858.CD000081.pub3. Authors. Jiang H; Qian X; Carroli G; Garner P ...

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Uso de la episiotomía selectiva versus sistemática para el parto ...
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Cochrane Database of Systematic Reviews 2017, Issue 2. Art. No.: CD000081. DOI: 10.1002/14651858.CD000081.pub3. Autores. Jiang H ...

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経腟分娩時の選択的またはルーチンの会陰切開術 | Cochrane
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Cochrane Database of Systematic Reviews 2017, Issue 2. Art. No.: CD000081. DOI: 10.1002/14651858.CD000081.pub3. Authors. Jiang H; Qian ...

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استفاده انتخابی در برابر استفاده روتین از اپیزیوتومی در زایمان ...
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Cochrane Database of Systematic Reviews 2017, Issue 2. Art. No.: CD000081. DOI: 10.1002/14651858.CD000081.pub3. نویسندگان. Jiang H ...

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