The perineal injury can be prevented in normal labour bya all except
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
Maintaining flexion of head
Timely episotomy as a routine
Slow delivery of the head in between contractions
Effective perineal guard
General obstetrics