Like I said, it’s kind of barbaric, but it can be used as an intermediate measure if there’s something like shoulder dystocia but the mother is against or hesitant about going to C-Section. These days, the episiotomy incision is made at a very specific angle so as to preserve function of the pelvic floor muscles, and it can also be used as an intervention or prophylaxis against perineal tearing which is more likely to damage the pelvic floor muscles and lead to complications.