This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Episiotomy, Subject name: Gynaecology & Obstetrics
Which of these is false for episiotomy? 
Select and explain. 
A. Frank breech delivery should be preceded by a generous episiotomy, B. Perineal was increase the risk of episiotomy breakdown, C. Routine episiotomy does not reduce risk of rectal injury, D. Episiotomy should be routinely given in all primigravidas
D: Episiotomy should be routinely given in all primigravidas
Answer: D: Episiotomy should be routinely given in all primigravidas 
Explanation: Episiotomy should not be performed routinely. THERE IS NO RULE HERE EXCEPT FOR CLINICAL JUDGEMENT However common indications are: Shoulder dystocia breech delivery forceps or ventouse deliveries occipito-posterior positions instances where it is obvious that failure to perform an episiotomy will result in perineal rupture