This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Operative Obs, Subject name: Gynaecology & Obstetrics
[{'content': 'As compared to mediolateral episiotomy, median episiotomy has complications because of: \nSelect and explain. \nA. Poor repair, B. Cosmetic problem, C. Extension to rectum, D. More blood loss', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Ans. (c) Extension to rectumRef.: D.C. Dutta 8th ed. / 649-50, 5th ed.l 606* Episiotomy: is defined as a surgical incision of the perineum made to increase the diameter of the vulval outlet during child- birth (and not the whole birth canal).* Types of episiotomy: (Only the median or mediolateral episiotomy are done commonly).* Medio-lateral# Median# Lateral# T shapedMedianMediolateral* Muscles are not cut* Blood loss is less* Repair is easy* Healing is superior* Dyspareunia is rare* Extension, if occurs, may involve rectum* Incision cannot be extended* Muscles are cut* Blood loss is more* Repair is difficult* Healing is less superior* Dyspareunia is more* Relative safety from rectal involvement from extension* Incision can be extended Q', 'role': 'assistant'}]