In many cases, the obstetrician, midwife, or party who is helping you to deliver your baby will be responsible for any perineal tearing that occurs or episiotomy that may have been performed. However, nurses who are involved in your labor or delivery may also be held accountable if they failed to notice the signs and symptoms of complications that occur from perineal tearing and episiotomy injuries. Furthermore, the hospital that employs these healthcare providers could also be named in your case, as it is responsible for the actions of its staff. Your lawyer will need to carefully review the details of your case to determine which parties are responsible for your maternal birth injuries.