Which practice is appropriate regarding episiotomy during an uncomplicated vaginal birth?
Correct answer: B. Use it only when clinically indicated
- A. Perform it routinely for every primigravida
- B. Use it only when clinically indicated
- C. Perform it before the cervix is fully dilated
- D. Use it instead of supporting the perineum
Explanation
Routine episiotomy is not recommended because it can increase perineal trauma and discomfort. It may be used when clinically indicated, such as in selected cases of fetal compromise or an assisted birth.
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About Normal Labour and Delivery
Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.
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