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Breech presentation — DRCOG MCQ

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ModerateAntenatal CareBreech presentationDRCOG

A 36-year-old primigravida is found to have a breech presentation at 36+3 weeks by midwife palpation and confirmatory scan. There is normal liquor and no placenta praevia. She is otherwise well. What is the most appropriate management?

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Correct answer: B — Offer external cephalic version

At around 36 to 37 weeks, external cephalic version should be offered when there are no contraindications. Caesarean birth may become appropriate if breech persists or ECV is declined, but it is not the first management step in this uncomplicated scenario. Waiting until 41 weeks reduces the chance of successful version and may limit options. The pearl is that ECV is a primary care-recognisable referral action rather than a specialist-only consideration.

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