Episiotomy isn’t just a little snip. It’s a cut with surgical scissors to your perineum during childbirth to enlarge the opening. And it's often overdone. In fact, the research is clear: routine episiotomies can increase your risk of severe 3rd and 4th degree tearing. ⁠ They should only be used in rare cases (like forceps or vacuum deliveries) and not be part of standard routine practice. One of the best @wegotherepodcast interviews I ever did was with Dr Michael Klein, a trailblazing physician