. The necessity of follow-up of severe perineal lacerations raised here may, in the future, confirm the importance of episiotomy’s protective effect in other areas, including the prevention of urinary incontinence and pelvic floor dysfunction and ideal episiotomy rates. Reducing the negative impact of severe lacerations on women’s quality of life cannot rely only on care during delivery, but also on preventive measures such as adequate prenatal care, identification of risk
factors for perineal laceration, and pre- and postpartum perineal protection exercises [4].