Part 1: instrumental delivery episiotomies. These are interventions that should ONLY be used in case of medical necessity/emergency, not as routine. However some hospitals and providers have higher rates of use of these and it’s important you know what your hospital/provider does, and WHY Being informed is your right, and if you know what has to happen for something else to happen you can plan and be prepared. For example, in my PERSONAL case, and this is me only, I told my OBGYN that if vacuum