skip to main content

Undiagnosed breech in labour — DRCOG MCQ

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

HardIntrapartum CareUndiagnosed breech in labourDRCOG

A woman arrives in established labour at 38 weeks with an undiagnosed breech presentation. She is fully dilated, the fetal heart is normal and the breech is visible at the introitus. No obstetrician is immediately present in the birth room. 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 — Call senior obstetric and neonatal help urgently

Unexpected breech in advanced labour requires urgent senior obstetric and neonatal attendance while preparing for safe vaginal breech birth if birth is imminent. Traction on the legs can cause harm and should be avoided. Caesarean may not be feasible when the breech is already delivering. The pearl is that breech management depends on stage of labour and immediate expertise.

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