Breech presentation — MCCQE Part 1 MCQ

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ModeratePregnancy ComplicationsBreech presentationMCCQE Part 1

A 30-year-old G1P0 at 37 weeks has a fetus in frank breech on US. No contraindications to vaginal delivery. Most appropriate next step?

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Correct answer: E — Offer external cephalic version (ECV)

SOGC: offer ECV at 36-38 weeks. Success rate ~50-60%. If ECV fails/declined, planned C-section at 39 weeks (Term Breech Trial). Vaginal breech may be offered by experienced practitioners.

Reference: SOGC Breech Presentation No. 384