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Episiotomy — DRCOG MCQ

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ModerateLabourEpisiotomyDRCOG

A 30-year-old woman is having a ventouse birth for fetal compromise. She asks whether an episiotomy may be needed. The fetal head is low and the perineum is tight. What would you advise?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Episiotomy may be advised if clinically needed for assisted birth

Episiotomy may be indicated for assisted vaginal birth or urgent need to expedite birth, but it is not routine for every vaginal birth. It can reduce some risks in selected contexts but does not prevent every severe tear. It can be used with ventouse when clinically appropriate. A previous episiotomy does not mandate caesarean birth in future pregnancies.

Reference: NICE NG235; RCOG perineal trauma guidance