The Stand Taken by the American College of Obstetricians and Gynecologists

The stand taken by the American College of Obstetricians and Gynecologists regarding episiotomies is:

A) to perform them only when other methods have not worked and the baby is in distress.
B) that they should be performed more often than not to reduce damage to the pelvic floor.
C) to perform them on every first-time mother but only as a last resort for subsequent births.
D) that they are necessary to avoid unnecessary and hard to repair tears and so should be mandatory.