An episiotomy is to be performed in a primigravida in labor. Which of these is an advantage of mediolateral episiotomy over midline episiotomy?
Correct Answer: Less chance of extension
Description: Ans: A. Less chance of extension (Ref: Williams 24/e p551).A mediolateral episiotomy is preferred because it has a much lesser chance of extension through the perineum till anal sphincter, though there is increased risk of blood loss and it is difficult to repair.
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Gynaecology & Obstetrics
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