Forced episiotomy
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Many intactivists are concerned with the process of birth, and consider the routine use of episiotomies by American OB/Gyns, particularly when performed against the wishes of the mother or when consent is obtained by intimidation, as a form of genital mutilation and violence against a mother in a moment of vulnerability.
Reports of forced episiotomies and aggressive coercion to obtain consent for episiotomy exist, but only recently there has been litigation over this procedure.