Medical MCQ-An episiotomy is to be performed in a primigravida in labor. Which of these is an advantage of mediolateral episiotomy over midline episiotomy?

An episiotomy is to be performed in a primigravida in labor. Which of these is an advantage of mediolateral episiotomy over midline episiotomy?

Less chance of extension

Can be repaired at ease

Fewer breakdown

Lesser blood loss

Question Category:

Gynaecology & Obstetrics

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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