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Review studies took place between 1973 and 1992. Recently, obstetricians have already been exploring ways to simplicity delivery and decrease postpartum discomfort. ‘There is less perineal pain today as routine episiotomies are discouraged and fewer forceps vacuum deliveries are becoming performed,’ Goetzl said. ‘Therefore I’d expect that perineal pain is less today than it was when the initial articles were published.’ Long term reviews covers other medicines for postpartum pain, for instance non-steroidal anti-inflammatory medications like Advil.