Goueslard K, et al. - The evolution of episiotomy rates between 2007 and 2014, especially for vaginal deliveries without instrumental assistance were described. Researchers also assess individual characteristics and birth environment factors associated with episiotomy. For this population-based study, they analyzed all hospital discharge abstracts for all deliveries in France from 2007 to 2014 and noted a decrease in the episiotomy rate for vaginal deliveries overall and for non-operative vaginal deliveries. Proactive changes in practices to restrict the number of episiotomies (which recommend performing episiotomies only if it is beneficial to the mother and the infant) might be responsible for this decrease.