what is episotomy
(February 2009). An episiotomy (/ÉËpiËziËËÉtÉmiË/ or /ÉËpÉsaÉªËÉtÉmiË/), also known as perineotomy, is a surgical incision of the perineum and the posterior vaginal wall generally done by a midwife or obstetrician during second stage of labor to quickly enlarge the opening for the baby to pass through.pisiotomy is done as prophylaxis against soft-tissue tearing which would involve the anal sphincter and rectum. Vaginal tears can occur during childbirth, most often at the vaginal opening as the baby's head passes through, especially if the baby descends quickly.