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Background: In many developing countries facing medical personnel shortage, including Thailand, medical graduates are required to have enough confidence and competence to perform essential procedures by themselves. They should be competent in episiotomy and perineal repair. In the early phase of actual practice of episiotomy on real patients, new clinical students are usually unskilled and less confident.

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Background: Episiotomy is done to expand the birth canal but can cause serious complications. It is still commonly performed in many parts of the world representing a quality-of-care and quality-of-life challenge. There is currently no data regarding the prevalence of episiotomy in Afghanistan.

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