0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Episiotomy and the Second Stage of Labor

Allan G. Charles, MD
JAMA. 1985;253(12):1800. doi:10.1001/jama.1985.03350360126039.
Text Size: A A A
Published online

ABSTRACT

Episiotomy and the Second Stage of Labor, by Kitzinger and Simkin, is an interesting book. The authors' bias against episiotomy is evidenced by the illustration on the book cover, a primitive figurine of a woman delivering a child with a large, open pair of episiotomy scissors spread threateningly behind the figurine.

In an era in which alternative birth methods are being offered and in which some basic obstetrical tenets are being questioned, books such as this should at least be read by conscientious practicing obstetricians.

In an introductory chapter Kitzinger mentions a survey conducted by the Natural Childbirth Trust on experiences with episiotomies. Nowhere does she state how many women were interviewed or how the sample was chosen. She does state, however, that there were disturbing findings, among which was painful episiotomy. I would question the statement that "an episiotomy done early on a thick perineum, of course, increases pelvic

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();