Ah, we only really use "first degree" and "second degree" here—the bigger ones are just sent to Shillong. And they stopped routine episiotomy ages ago in the books, but here, the senior midwife still does it if she thinks the mama is tearing bad; old habits are strong in a small labour room. My nursing course says not to, but my daily life says the practical worry for a hard delivery with no doctor present often wins. I read the new guidelines with my tea in the morning, sngewbha for the knowledge, then see the old ways still holding on in our hospital.
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