O606 Humanization of childbirth in a public hospital of Brazil: maternal and neonatal outcomes

Episiotomy in Modern Obstetrics OR Episiotomy: It's Time to Stop Cutting!

“…With a protocol of not performing an episiotomy combined with perineal protection strategies, Amorim et al found a rate of intact perineum of around 60% and only 23% of need for suture in parturients who were not submitted to episiotomy. [58][59][60] The first RCT comparing not performing an episiotomy with restrictive use in 237 women was published in 2017 61 , describing episiotomy rates around 1.7% in both groups and similar maternal and perinatal outcomes, without severe perineal trauma. However, as it was an isolated study with a small sample in a single center, which already had very low rates of episiotomy in daily clinical practice, the authors recommended further studies.…”