Towards the end of pregnancy, the vulva becomes swollen and tender, and due to this change, the area around the vaginal opening expands well during labor to allow the baby to pass. However, first-time mothers do not dilate well and give birth quickly, and the fetus comes out before it is fully expanded. This is where the tear occurs from the vagina to the perineum. In order not to tear the perineum, the doctor controlled the fetus with his hands. Waiting for the vaginal opening to expand is called perineal protection. However, in order not to prolong labor, the perineum should be incised before tearing occurs. Cuts heal faster than lacerations, and one reason to aggressively perform an episiotomy is to clean the wound