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May 21, 1938

THE FEMALE PERINEUM: EPISIOTOMY AND A TECHNIC FOR ITS REPAIR

Author Affiliations

SYRACUSE, N. Y.

From the Department of Obstetrics, Syracuse University College of Medicine.

JAMA. 1938;110(21):1738-1743. doi:10.1001/jama.1938.02790210018006
Abstract

By the term perineum is meant all those structures, or anatomic soft parts, which correspond to the inferior aperture or outlet of the pelvis.

With the marked increase in the percentage of hospital deliveries and in the use of obstetric analgesia during the past decade, surgical incision of these soft parts (episiotomy) during labor has become a common practice by even the most unskilled accoucheurs.

Unfortunately this operation, one of the niceties of obstetric art, is often accomplished with such little regard for either the manner of incision or the technic of repair that the outcomeis frequently as undesirable as that which is oftenobserved. when no such intervention is attempted. It is not surprising, therefore, that among obstetricians there is a growing sentiment that this is the most abused of obstetric procedures.

On those of us to whom is entrusted the teaching of obstetrics there falls a not altogether undeserved

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