This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Advantages of median episiotomy over mediolateral episiotomy are all except: March 2005 
Select and explain. 
A. Less blood loss, B. Easy repair, C. Extension of the incision is easy, D. Muscles are not cut
C: Extension of the incision is easy
Answer: C: Extension of the incision is easy 
Explanation: Ans. C: Extension of the Incision is Easy Mediolateral episiotomy is performed by making a diagonal incision across the midline between the vagina and anus This method is used much less often. The disadvantages are: Apposition of the tissues is not so good. May require more healing time than the midline incision. Blood loss is little more Postoperative discomfo is more Relative increased incidence of wound disruption Dyspareunia is comparatively more The advantages are: If necessary the incision can be extended. Relative safety from rectal involvement from extension.