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Gynaecology & Obstetrics Breech Presentations 31b90856

Breech presentation with footling. Management is:

A
Vaginal delivery
B
Ceasarean section
C
Forceps delivery
D
Internal podalic version
High-Yield Explanation
Ans. (b) Ceasarean SectionRef.: D.C. Dutta 8th ed. / 441-42, Williams 22/e / 571* Because Breech presentation with footling has very high incidence of cord prolapse, delivery by caesarean section is recommended in these patients.Indication of C.S in breech are:* Big baby (Wt> 3.5 kg.)* Hyperextension of head (stargazing fetus)* Footling presentation (risk of cord prolapse)* Suspected pelvic contraction* Severe IUGR

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