Jefferson University Hospitals


An episiotomy is a small cut made to widen the opening of your vagina to ease delivery of your baby.

An episiotomy may be classified into two types:

  • Midline or median – refers to a vertical incision that is made from the lower opening of the vagina toward the rectum. This type of episiotomy usually heals well but may be more likely to tear and extend into the rectal area, called a third- or fourth-degree laceration.
  • Mediolateral – refers to an incision that is made at a 45-degree angle from the lower opening of the vagina to either side. This type of episiotomy does not tend to tear or extend but is associated with greater blood loss and may not heal as well.