<prompt> Most common cause of vulval hematoma-EpisiotomvVault ruptureLower segment uterine ruptureRupture of paravaginal sinuses  <response>: Ans. is a i.e., Episiotomy Causes of vulval hematoma:o Improper haemostasis during repair of vaginal or perineal tear or episiotomy wound meo Failure to obliterate the dead space while suturing the vaginal walls.o Rupture of paravaginal plexus spontaneously or due to instrumental injury. 