Each year, more than 200,000 women in the UK and over 1.5 million
women in the US undergo an episiotomy. In many countries, this
operation has been adopted as routine and standard obstetrical
This important book, challenges the liberal use of this
procedure and provides new insights into the process by which
maternity practice changes. As it traces the introduction,
routinazation and questioning of episiotomy in the US and the UK,
it identifies and explores the medical and non-medical factors
responsible for changing obstetrics and midwifery thinking and the
use of this procedure. The book suggests practical ways for
practitioners to bring about evidence-based change in midwifery
Key features of the book:
presents a cross-national case study of episiotomy
challenges the tradition of routine intervention
brings together international statistics into one source
offers practical suggestions for effecting change
promotes evidence-based practice
The book is written by Ian D. Graham PhD, Medical Sociologist at
the Clinical Epidemiology Unit, Ottawa Civic Hospital Loeb research
Institute, Canada, with a contribution from Barbara Davies RN, PhD
(cand), Assistant Professor, School of Nursing, University of
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