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A study of over 400 000 deliveries in 16 Latin American countries by
Althabe and colleagues (p 945) shows that nine of every 10 primiparous women with spontaneous deliveries received an episiotomy. If this figure is applied to the 2.35 million primiparous Latin Americans who give birth each year, then 2.17 million will receive an
episiotomy. This situation, the authors say, is inadmissible in light
of current evidence, and this overuse of episiotomy needs to change.