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MBBS QUESTION #10200
Question 1
During vaginal delivery, a mediolateral episiotomy is often preferred over a midline incision because it reduces the risk of extension into which vital structure?
  • The anal sphincter complex✔️
  • The bulbospongiosus muscle
  • The urethra
  • Bartholin's gland
Correct Answer Explanation
A midline episiotomy, while less painful and easier to repair, carries a higher risk of extending posteriorly to involve the external anal sphincter (third/fourth-degree tears); the mediolateral approach directs the incision away from the midline anal sphincter complex.