Contents: Research LetterTrends in and Factors Associated With Episiotomy in the Setting of Nonoperative Vaginal Delivery, 2000–2018Logue, Teresa C. MPH; Wen, Timothy MD, MPH; Arditi, Brittany MD, MSCR; Huang, Yongmei MD, MPH; Wright, Jason D. MD; D'Alton, Mary E. MD; Friedman, Alexander M. MD, MPH Author Information Department of Obstetrics and Gynecology, Columbia University, New York, New York; and the Department of Obstetrics and Gynecology, University of California, San Francisco, San Francisco, California. Corresponding author: Alexander Friedman, MD, MPH, Division of Maternal-Fetal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY; email: [email protected]. Financial Disclosure Dr. D'Alton had a senior leadership role in ACOG II's Safe Motherhood Initiative, which received unrestricted funding from Merck for Mothers. Dr. Wen currently serves on the Medical Advisory Panel for Delfina. Dr. Wright disclosed that he received royalties from UpToDate for writing/review of chapters related to cervical dysplasia, human papillomavirus, and cervical cancer. He served as a consultant for Clovis Oncology and participated in their advisory board (March 2019). He performed medicolegal review of malpractice cases related to delayed diagnosis of gynecologic cancer and intraoperative complications during gynecologic surgery. He is currently serving on the SGO Board of Directors (no monetary compensation) from 2019 to 2022. He conducted epidemiologic research trials examining patterns of care for ovarian, uterine, and cervical cancer for Merck. Lastly, he has also performed analysis of and provided education on clinical trials data for Otsuka Pharmacovigilance. The other authors did not report any potential conflicts of interest. Dr. Wright, Editor-in-Chief of Obstetrics & Gynecology, was not involved in the review or decision to publish this article. Each author has confirmed compliance with the journal's requirements for authorship. Peer reviews and author correspondence are available at https://links.lww.com/AOG/C504. Obstetrics & Gynecology 139(1):p 110-112, January 2022. | DOI: 10.1097/AOG.0000000000004631 Buy Metrics In Brief Use of episiotomy during nonoperative vaginal deliveries decreased markedly over the 2000–2018 study period. © 2021 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.