I recommend information in book Women's Bodies, Women's Wisdom in library page 12. 468 and 469 regarding routine episiotomies study have shown increase blood loss, pain, and risk of long term pelvic floor damage. some obstetricians have only recently at this books publishing question this procedure. You are not off base. You have practical concerns . Make a list of these concerns and begin to educate. Ask your women friends what concerns them in birthing. You will see common experiences and concerns. We as women and nurses need to explore the realities in birthing that are safe. You will be amazed at what has not been taught.