**7. Conclusion**

The majority of health professionals who attend deliveries in Chile work in public hospitals and indicated insufficient training capacities in relation to episiotomy techniques. Criteria for episiotomy utilization is diverse and heterogeneous with no agreement of absolute indications of the procedure.

## **8. Suggestions**

National guideline for health professionals addressing the correct management of perineal injury prevention, precise practice of episiotomy, proper diagnostic techniques of severe perineal trauma and correct perineal repair.

To improve and strengthen specific formal training programs regarding OASI management and major tears repair and implementing simulation training opportunities and expertise during internships and residence years.

To increase research in this and similar topics.

## **9. Strengths**

First study in Chile about episiotomy practice among obstetricians and midwives.

Survey addressing delivery practices along the territory. Anonymous survey which facilitates honest answers.

## **10. Limitations of the study**

Limited number of participants in order to assess significant differences.

## **Acknowledgements**

We thank doctors and midwives who participated in this survey.

## **Authors' contributions**

All the authors of the manuscript actively participated in the conception, design and analysis of the study and in the writing of the manuscript and approve the manuscript as submitted.

*Perineal Management and Episiotomy Practice in Chile DOI: http://dx.doi.org/10.5772/intechopen.100033*
