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Sometimes during the process of giving birth, a doctor or midwife may make a cut in a woman’s perineum (the area between the vagina and anus). The cut makes the opening of the vagina a bit wider, allowing the baby to come through it more easily. An episiotomy may be recommended if your baby develops a condition known as foetal distress. Foetal distress is where the baby’s heart rate significantly increases or decreases before birth. This means that the baby may not be getting enough oxygen and has to be delivered quickly to avoid the risk of birth defects or stillbirth.