Methods. Patients who had normal vaginal delivery with episiotomy were enrolled in the study. One hundred and twenty who were randomly allocated to either episiotomy repair before (Group 1: 60) or after spontaneous placental expulsion (Group 2: 60) had mediolateral episiotomy. Postpartum blood loss was measured with calibrated collecting bags, placed under the women immediately after the birth. Amount of the blood loss 1 h after the delivery was recorded and the two groups were compared for postpartum blood loss as a primary outcome. After the normality analysis with Kolmogorov-Smirnov Test, we used Mann-Whitney U test for comparing groups. The chi-square test was used for comparing presence of postpartum hemorrhage.