Lateral Episiotomy or No Episiotomy in Vacuum Assisted Delivery in Nulliparous Women (EVA) : Multicentre, Open Label, Randomised Controlled Trial
Obstetric anal sphincter injury (OASI) is a serious complication to vaginal birth, with the primary risk factors being primiparity and instrumental birth. Rates of OASI vary across countries, affecting up to 4% of primiparous women for spontaneous births and 6% to 24% for instrumental births in the United States, Canada, and Europe.