Is this medical malpractice? Issues before and after delivery..?

To be honest, it's pretty much standard practice for a doctor to do an episiotomy because it makes the risk of tearing far less. Trust me, you don't want her to tear while giving birth. The fact that she got an infection is simply unfortunate. The doctors didn't maliciously give it to her. As for the sagging and other issues, it just simply is one of the many side effects a lot of women have to deal with from having a baby. Many women are turning to l reconstructive surgery after they are finished having kids.