A 30 y.o. primipara has intensive labor pushings with an interval of 1-2 min and of 50 sec duration. There is a appearing of the fetus head. Perineum is of 4 cm height, has turned pale. What should be done in this case?

Answer options

1. Perineum protection
2. Vacuum extraction of the fetus
3. Perineotomy
4. Episiotomy
5. Observation

Explanation

A 30 y.o. primipara has intensive labor pushings with an interval of 1-2 min and of 45-50sec duration. There is a appearing of the fetal head. Perineum is of 4 cm height, has turned pale. What should be done in this case? A. Episiotomy → a surgical cut made at the opening of the vagina during childbirth, to aid a difficult delivery and prevent rupture of tissues. B. Perineum protection C. Perineotomy D. Vacuum extraction of the fetus E. ObservationEpisiotomy, also known as peritectomy, is a surgical incision of the perineum and the posterior vaginal wall done by a midwife or obstetrician. An episiotomy is usually performed during the second stage of labor to quickly enlarge the opening for the baby to pass through.