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. 2023 Sep 12;11(18):2520. doi: 10.3390/healthcare11182520

Table 2.

Selective episiotomy guidelines for hospitals.

An episiotomy should only be performed when indicated by:

  1. Abnormal progression of labor *

  2. Non-reassuring fetal heart rate pattern

  3. Vacuum or forceps childbirth

  4. Shoulder dystocia

Episiotomy indications must be written in the medical record
* Definition of abnormal progression of labor:
  • (a) 

    Primiparous women with or without epidural anaesthesia: >3 h

  • (b) 

    Multiparous women with or without epidural anaesthesia: >2 h