skip to main content

Breech presentation — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

ModerateAntenatal CareBreech presentationDRCOG

A 32-year-old primigravida attends at 36+3 weeks. Abdominal palpation suggests breech presentation and ultrasound confirms a singleton frank breech. There are no contraindications to vaginal birth or external cephalic version. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Offer referral for external cephalic version

At around 36 weeks in a nulliparous woman with uncomplicated breech presentation, external cephalic version should be offered if there are no contraindications. Caesarean section may be discussed if ECV is declined or unsuccessful, but immediate booking without counselling is premature. Induction is not indicated solely because of breech at 36 weeks. Persistent breech needs active birth-planning rather than no follow-up.

Reference: RCOG Green-top Guideline No. 20a; NICE NG201