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9132 Gynaecology & Obstetrics

While performing a vaginal delivery for a nulliparous woman, after successful delivery of the baby and placenta, you observe that a perineal laceration has extended to involve the external anal sphincter. All are true regarding this except?

AIt could have been avoided had you practiced a routine episiotomy
BLack of proper perineal support could be the reason
CRepair is done in the OT under anaesthesia by senior
DTorn anal sphincter is sutured using end to end anastomosis
Gynaecology & Obstetrics
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