Medical professionals generally agree that spontaneous, natural tearing is often better and heals more effectively than an intentional surgical cut (episiotomy). Natural tears usually involve only the superficial layers of skin and tissue, whereas an episiotomy cuts deeper into muscle tissue, can cause greater postpartum pain, and carries a higher risk of severe complication ratings. Obstetricians now reserve episiotomies strictly for urgent medical emergencies, preferring to let maternal tissues stretch naturally with perineal massage and warm compresses.
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