Episiotomy: lessons learned at last CMAJ 1997;156:1530 I read with interest and some concern the article "Association between median episiotomy and severe perineal lacerations in primiparous women" (CMAJ 1997;156:797-802 [full text / résumé), by Dr. Michel Labrecque and associates. When I was a medical student, more than 40 years ago, we were told never to do a median episiotomy, for the reason given in this article. This was in the so-called Third World (South Africa). I am intrigued that it has taken more than 40 years for this teaching to surface here. Frank I. Jackson, MB, ChB Edmonton, Alta. Send a letter to the editor responding to this letter Envoyez une lettre à la rédaction au sujet de cette lettre | CMAJ June 1, 1997 (vol 156, no 11) / JAMC le 1er juin 1997 (vol 156, no 11) |