<prompt> Which of these is false for episiotomy?Frank breech delivery should be preceded by a generous episiotomyPerineal was increase the risk of episiotomy breakdownRoutine episiotomy does not reduce risk of rectal injuryEpisiotomy should be routinely given in all primigravidas  <response>: Episiotomy should not be performed routinely. THERE IS NO RULE HERE EXCEPT FOR CLINICAL JUDGEMENT However common indications are: Shoulder dystocia breech delivery forceps or ventouse deliveries occipito-posterior positions instances where it is obvious that failure to perform an episiotomy will result in perineal rupture 