Unintentional pelvic floor injury or surgery with strict indications. Or when an episiotomy makes sense

Episiotomy, a common obstetric procedure, has long been integrated into practice. Depending on hospital protocols or physician preferences, between 9.5% to 95% of delivering women undergo episiotomy, not due to process differences. The true rate likely falls somewhere in between. Indications for episiotomy in obstetrics literature are not evidence-based but rather speculative about positive and negative outcomes for pregnant women. Current research and WHO guidelines suggest that episiotomies should only be performed when there is physical obstruction due to lesions or scar tissue in the perineum.