Episiotomy and Increase in the Risk of Obstetric Laceration in a Subsequent Vaginal Delivery

OBJECTIVE:To examine whether episiotomy at first vaginal delivery increases the risk of spontaneous obstetric laceration in the subsequent delivery.METHODS:A review was conducted of women with consecutive vaginal deliveries at Magee-Womens Hospital between 1995 and 2005, using the Magee Obstetrical