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Answer for the clue "Surgical incision of the perineum to enlarge the vagina and so facilitate delivery during childbirth ", 10 letters:
episiotomy

Word definitions for episiotomy in dictionaries

Wikipedia Word definitions in Wikipedia
Episiotomy also known as perineotomy , is a surgical incision of the perineum and the posterior vaginal wall generally done by a midwife or obstetrician during second stage of labor to quickly enlarge the opening for the baby to pass through. The incision, ...

Wiktionary Word definitions in Wiktionary
n. (context medical English) A surgical incision through the perineum made to enlarge the vagina and assist childbirth.

Douglas Harper's Etymology Dictionary Word definitions in Douglas Harper's Etymology Dictionary
1869, from comb. form of Greek epision "the pubic region" + -tomy "a cutting."

WordNet Word definitions in WordNet
n. surgical incision of the perineum to enlarge the vagina and so facilitate delivery during childbirth

Usage examples of episiotomy.

We had both devoured most of the available literature on birthing as a subversive activity, and were determined to Do This Naturally-not with drugs and episiotomies, like postmodern drones, but the way our prim.

It would be necessary, she decided, for her to perform an episiotomy to mitigate the pain and tearing of the actual birth.