Doherty P J, Cohen I
Program in Community Medicine, Tulane University School of Medicine, New Orleans.
J La State Med Soc. 1993 Dec;145(12):531-3.
In 1991, there were 995 uncomplicated vaginal deliveries at Noel Holmes Hospital (NHH) in Lucea, Jamaica. Seven hundred and forty-two women were discharged with intact perineums. Only 3 episiotomies were performed. These data raise a concern that episiotomy may be overused in the United States.
1991年，牙买加卢塞亚的诺埃尔·霍姆斯医院（NHH）有995例无并发症的阴道分娩。742名妇女会阴完整出院。仅实施了3例会阴切开术。这些数据引发了人们对美国可能过度使用会阴切开术的担忧。
