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Anatomy General obstetrics adc19855

The perineal injury can be prevented in normal labour bya all except

A
Maintaining flexion of head
B
Timely episotomy as a routine
C
Slow delivery of the head in between contractions
D
Effective perineal guard
High-Yield Explanation
An episotomy will increase the risk of tear into external and spinchter or rectum or both. Conversely anterior tears involving urethra and labia are more common in women in whom an episotomy is not cut . So timely episotomy as a routine should not be done and it should be individualised

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