Breech in labour — DRCOG MCQ

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ModerateLabourBreech in labourDRCOG

A 25-year-old woman presents in established labour at term and the presenting part is breech on examination. What is the most appropriate management?

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Correct answer: B — Arrange urgent obstetric assessment

Arrange urgent obstetric assessment is the best answer because the vignette is testing Breech in labour and the recommended approach is consistent with RCOG Green-top Guideline 20b. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Advise oral analgesia and routine follow-up; Book a non-urgent community midwife appointment; Start combined hormonal contraception; Refer for routine gynaecology review would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: RCOG Green-top Guideline 20b