Full 2L QBank
Gynaecology & Obstetrics Labour - normal, abnormal, malposition, malpresentation and their management a008a0ba

Which of the following is the most appropriate management of a face presentation with no fetal distress and an adequate pelvis, as determined by digital examination?

A
Perform immediate cesarean section without labor
B
Allow spontaneous labor with vaginal delivery
C
Perform forceps rotation in the second stage of labor to conve mentum posterior to mentum anterior and to allow vaginal delivery
D
Allow to labor spontaneously until complete cervical dilation is achieved and then perform internal podalic version with breech extraction
High-Yield Explanation
If Face presents with mento- anterior , it can deliver vaginally. The diameter of engagement is Sub-mentoveical, 10cms, or sub-mentobregmatic,9.5 cms, both of which suppo a normal vaginal delivery Mento posterior position has no mechanism of labor as the engaging diameter is the sterno bregmatic of 16-18cm because the chest and the head try to pass the brim at the same time It is best to do an elective cesarean section for Mento-posterior

Related Gynaecology & Obstetrics MCQs

Practice 2,00,000+ NEET PG Questions Free

Timed mock tests, mistake queue analytics, audio lectures & zero attempt limits on i❤️Exams.

Start Free Mock Test Now