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Objective : To investigate the relationship of 45o to 60o mediolateral episiotomy and the incidence of extended laceration and post labour pain in primigravida. Methods : This study used simple randomization design which was conducted in the Department of Obstetrics and Gynecology, Teaching Hospital, Faculty of Medicine, Universitas Hasanuddin from April 2018 to September 2018. There were 80 samples for the 45o mediolateral episiotomy group and 80 samples for the 60o group. Results : After the Chi-Square correlation test has been carried out, the research result indicates that there is a higher incidence in 60o mediolateral episiotomy group in extended perineal laceration (p=0.002), and Fisher Exact test shows that post-labour pain (p=0.000) higher in the same group compared to the 45 o group. Conclusions : Mediolateral episiotomy 45o have lower extended perineal laceration and post-labour pain compared to the 60 o group.

The 45o Mediolateral Episiotomy: Does it Reduce to the Incidence of Extended Laceration Incidence and Postlabour Pain?