An episiotomy is to be performed in a primigravida in labor. Which of these is an advantage of mediolateral episiotomy over midline episiotomy?
(A) Less chance of extension (B) Can be repaired at ease (C) Fewer breakdown (D) Lesser blood loss
(A) 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.