Episiotomy

Many practitioners argue that it is better to cut the perineum than to let it tear. This cut is called an episiotomy. In reality, it is more difficult to repair a straight cut than a small tear in much the same way it is harder to put together a puzzle with straight edges; it is more difficult to match evenly and can result in vaginal discomfort once healed. Instead, the perineum can be massaged and gently stretched to prevent tearing as the baby's head crowns. There is also less pain associated with a tear than an episiotomy. If the woman has not had an epidural or pudendal block, she will get a local anesthetic to numb the area for repair.