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Open Access Research in Anatomy

Management of the Perineum in Normal Physiologic Birth: A Joint Collaboration of Women and Midwives

  • Open or Close Somayeh Makvandi1 and Khadigeh Mirzaiinajmabadi2*

    1Department of Midwifery, Mashhad University of Medical Sciences, Iran

    2Department of Midwifery, School of Nursing and Midwifery, Iran

    *Corresponding author: Khadigeh Mirzaiinajmabadi, PhD, Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran, Tel: 0098-9123740580; Fax: 0098 51 38597313; Email:

Submission: February 21, 2018; Published: February 27, 2018

DOI: 10.31031/OARA.2018.01.000518

ISSN: 2577-1922
Volume1 Issue4


Perineal trauma during childbirth is mainly connected with pain and complications. Episiotomy is a surgical incision of the perineum and the posterior vaginal wall. Before setting up motherfriendly care in Iran, mediolateral episiotomy was a traditional and routine component of vaginal childbirth. The aim was to keep away from damage to the anal sphincter and to limit the risk of traumatic birth for the fetus. In Iran, mother-friendly hospitals started their activity in 2008. A mother-friendly hospital must to promote and support normal physiologic birth that is the vaginal delivery with minimal interventions including routine episiotomies [1]. Evidences comparing routine and restrictive use of episiotomy during spontaneous vaginal birth propose that there are significant advantages in adopting a restrictive approach, particularly a reduction in posterior perineal lacerations [2-4].

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