This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Valva, Subject name: Gynaecology & Obstetrics
Most common cause of vulval hematoma- 
Select and explain. 
A. Episiotomv, B. Vault rupture, C. Lower segment uterine rupture, D. Rupture of paravaginal sinuses
A: Episiotomv
Answer: A: Episiotomv 
Explanation: Ans. is 'a' i.e., Episiotomy Causes of vulval hematoma:o Improper haemostasis during repair of vaginal or perineal tear or episiotomy wound (me)o Failure to obliterate the dead space while suturing the vaginal walls.o Rupture of paravaginal plexus spontaneously or due to instrumental injury.