Lowering Cincinnati Hospital Episiotomy Rates

I am just so excited to share this news!!!

Not only was my blog post shared in a meeting with Hospital staff BUT now an initiative to lower their episiotomy rates has started!!!! I recently found out from an internal source, at a local hospital, that they found my blog post comparing Cincinnati hospital birth practices Blog Post found here: Comparison of Cincinnati Hospitals  and were affected! My lips are sealed about who and which hospital but we can all take heart that change can and will happen. I was told that the hospital did not want a poor statistic to turn potential clients away. Watch as I get all pumped up to share more information with all my readers. This was the first step in making me believe in the power of what a little blog can do. 

An initiative to lower their episiotomy rate has started!!!

At this Hospital the rates of episiotomy are higher than needed and there’s an opinion that they are even higher than being reported. It seems that there is some routine use of episiotomy being used. There are very few clinical reasons where an episiotomy needs to be cut. As it is a cut at the opening of the vaginal canal, it is rare that this one cut, is what would allow an infant to be born. The tissue will tear if it really can not stretch to accommodate the circumference of the infants head.

The idea is that routine use of episiotomy will keep a woman from tearing, or tearing more, this is a belief that is no longer supported by research.

Since not all vaginal births result in perineal trauma, some women are subjected to unnecessary incisions and their associated complications and morbidity as a result of a ‘routine’ episiotomy policy. Even in obstetrical emergencies such as shoulder dystocia, and in instrumental-assisted deliveries, episiotomy may not reduce severe perineal tears (Steiner 2012).


I’m a strong believer in there being a different way for women to birth their babies. When women are able to choose the position that is most comfortable for them to birth, and are encouraged to slowly stretch the vaginal opening at crowning, the risk of tearing drops dramatically.

Have you experienced an episiotomy? Share you experience with us? Have an idea of what you will like to read about next? Contact me.

Published by Dreamcatcher Birth

Professional Cincinnati Doula and Placenta Encapsulation. I have been part of the Cincinnati birth community since 2010. The births that I have supported have spanned home, hospital, lqbt, heterosexual, natural, epidural, vaginal, VBAC, HVBAC and cesarean. I have been a doula to a whole range of mothers! Feel free to email me at: dreamcatcher.birth@gmail.com

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