Question

Mediolateral episiotomy is preferred because it?

• A. Reduces damage to the anal sphincter and anal canal
• B. Causes less blood loss
• C. Is easy to suture
• D. Is an easy technique

Hint:

The angled cut keeps the incision away from the anus, protecting the sphincter.

Answer 1

The Correct Option is A

Step 1: An episiotomy is a surgical incision of the perineum to enlarge the vaginal outlet during delivery. The two main types are midline and mediolateral.

Step 2: A mediolateral incision is directed away from the anus and rectum, so its key advantage is a much lower risk of the cut extending into the anal sphincter and anal canal (third and fourth degree tears).

Step 3: The midline type is easier to suture and bleeds less, but it carries a higher risk of extension into the sphincter. Mediolateral actually tends to bleed slightly more and is a little harder to repair.

Step 4: Therefore the reason mediolateral is preferred is the reduced damage to the anal sphincter and canal, not less bleeding or ease of suturing.