What is the guideline regarding episiotomy in relation to forceps deliveries?

The recommendation for selective episiotomy in operative vaginal deliveries, such as forceps deliveries, is based on the understanding that while episiotomy can be beneficial in specific situations, it is not required for every case. Selective episiotomy allows for targeted intervention when the clinician assesses that the risk of severe perineal laceration is high or if there are considerations such as the need for expedited delivery to ensure fetal well-being. This approach minimizes unnecessary trauma and promotes better healing outcomes by preserving the integrity of the perineal tissue when a laceration is unlikely to occur.

In cases where an episiotomy is performed thoughtfully and in a timely manner, it can facilitate the safe delivery of the fetus while reducing the risk of more significant perineal tears. Thus, the guideline emphasizes the importance of individual assessment rather than a one-size-fits-all approach, fostering better outcomes for both mother and baby.