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Breech presentation — DRCOG MCQ

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ModerateLabourBreech presentationDRCOG

A 36-year-old woman at 37+1 weeks has an uncomplicated singleton pregnancy but the fetus is breech on ultrasound. Placenta is anterior high, liquor is normal and there are no uterine scars. What is the most appropriate management?

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

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Correct answer: EOffer external cephalic version

At term with an uncomplicated breech presentation, external cephalic version should be offered if there are no contraindications. Immediate emergency caesarean is not indicated in a stable woman. The pearl is that ECV is a planned intervention to reduce persistent breech presentation and caesarean birth.

Reference: RCOG Green-top Guideline No. 20a; NICE NG235