<Tr> <Th> MedlinePlus </Th> <Td> 002920 </Td> </Tr> <Tr> <Td_colspan="2"> (edit on Wikidata) </Td> </Tr> <P> Episiotomy, also known as perineotomy, is a surgical incision of the perineum and the posterior vaginal wall generally done by a midwife or obstetrician . Episiotomy is usually performed during second stage of labor to quickly enlarge the opening for the baby to pass through . The incision, which can be done at a 90 degree angle from the vulva towards the anus or at an angle from the posterior end of the vulva (medio - lateral episiotomy), is performed under local anesthetic (pudendal anesthesia), and is sutured after delivery . </P> <P> Its routine use is no longer recommended . Despite this, it is one of the most common medical procedures performed on women . In the United States, as of 2012, it was performed in 12% of vaginal births . It is still widely practiced in many parts of the world, including Japan, Taiwan, China, and Spain . </P>

Where do they cut you for an episiotomy
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