When does the supplied material say an episiotomy should be performed?
Answer
When the fetal head has crowned
Explanation
The procedure slide states that episiotomy is done only when the head has crowned. This timing is presented alongside the requirements for a valid indication, analgesia or anaesthesia, protection of the fetal head, and a clean incision. The other timings are not supported by the supplied material.\n\n**Key takeaway:** The lecture places the incision at crowning, when clinically indicated.\n\n**Glossary:** **Crowning**: The fetal head is distending the vaginal opening and remains visible; **analgesia**: Relief of pain.